Celsus: On Medicine, Volume II, Books 5-6 (Loeb Classical Library No. 304)

THE LOEB CLASSICAL LIBRARY FOirNDED BY JAMES LOEB, LL.D.

EDITED BY fT. E, PAGE,

tE. CAPPS, L. A.

POST,

L.H.D. E.

C.H., LITT.D.

tW. H.

PH.D., LL.D.

H.

D.

WARMINGTON,

CELSUS

ROUSE,

litt.d.

m.a., f.b.hist.soc.

CELSUS DE MEDICINA WITH AN ENGLISH TRANSLATION BY

W.

G.

SPENCER

M3. LOND., F.R.C.S. ENQ.

IN

THREE VOLUMES

U

LONDON

WILLIAM HEINEMANN LTD CAMBRIDGE, MASSACHUSETTS

HARVARD UNIVERSITY PRESS MOMLXI

First pritUed 1938 Reprinted 1953, 1961

Printed in Great Britain

CONTENTS PAGE

rNTRODUCTION LISTS OF

MEDICAMENTA

WEIGHTS, MEASURES, SYMBOLS

BOOK V BOOK

VI

Vli

XV iXV 1

177

•^

INTRODUCTION Book V, Chapters 1-25, contains a

list of drugs and Celsus does not classify the ingredients as organic or inorganic, but he first gives a list of substances classified according to their effect on the body (styptics, agglutinants for wounds, substances to repress or mature suppuration, to cleanse wounds, induce healing, relieve irritation and encourage the growth of new flesh, caustics of varying strengths, and emollients), and then passes on to give the prescriptions for poultices, plasters, pastils, pessaries, dusting powders, ointments, gargles,

prescriptions."

antidotes, anodynes, liniments, draughts and pills. In his prescriptions Celsus gives quantities, which

have been reduced to modern measures,* but as we have no means of ascertaining the standard strength of the preparations which he used, it is impossible to dispense his prescriptions or compare them with those in use to-day.

The internal remedies prescribed by Celsus were chiefly foods or drink (alimenta), and he gives details of their use and effect on the body in Book II, " A few additional prescriptions occur in the description of treatment in Books VI and VII; in Books I-IV, although many foodstuffs or drugs are recommended for use in various

diseases, *

no instructions

for

compounding are given.

See below, pp. Ixv-lxvii. vii

INTRODUCTION chapter 18 fF.," but when the medicamenta proper are described in Book V it is noteworthy that very few are for internal use, and that nearly all are for external application. In the same way in the treatments described in Books I and II, much more attention is given to massage, rocking and remedial exercise * than to internal treatment by the purge and vomit, as to the value of which Celsus was very doubtful/ The preference for external remedies was perhaps due to the limited use of dissection, which resulted in a very imperfect knowledge of anatomy and internal conditions, so that Celsus and his contemporaries inclined to prescribe remedies, the results of which could be seen. While in Egypt the practice of embalming had early made men familiar with internal anatomy and the Alexandrian surgeons used dissection of dead bodies and vivisection for purposes of study and investigation,'^ both methods were strongly condemned by the Empiric school, to whose views Celsus attaches great weight,^ and evidently became gradually discredited, for when Galen studied at Alexandria in a.d. 152-157, he had no opportunity of studying human anatomy or morbid conditions by means of dissection. The prejudice against this con"

See also vol.

I, p.

483

ff.

for a list of alimenta.

Alimenta

and medicamenta overlapped to some extent and several of the former

{e.g.

honey, mustard) were ingredients or prescriptions

for external use. * These formed a very important part of medicine from the earhest times ; the use of remedial exercises as a treatment is said to have been introduced by Herodicus, the teacher of Hippocrates. ' Vol. I, Pro. 28 ff. * Celsus relates that the Ptolemies gave Herophilus and Erasistratus the bodies of criminals to vivisect (Pro. 23, 24). * Pro. 27 ff. The school was founded by Philinus.

viii

INTRODUCTION tinued during the succeeding centuries and contributed to keep these methods of study in abeyance, and it was not until the renaissance, when they were revived by painters and sculptors eager to regain the standard of Art which had been reached in ancient Greece, that they again became the basis of medical training. The conclusion reached by Celsus himself is that dissection is necessary for the instruction of students " and in his treatise he directs attention to what, in his opinion, the Art of medicine could then accomplish. He writes without any real knowledge of internal conditions, he treats the symptoms and not the disease.

In the introduction to his whole work, Celsus had already noted with approval the views of the Empirics that physicians should not be bound by hard and fast rules, and that treatment must vary according to though treatment climate and other conditions must be based on experience, difference of conditions caused the experience of individual practitioners to he had also noted the division of remedies vary * when the ordinary into secunda and contraria " remedies fail, contrary ones may be employed. An instance was the treatment given to Augustus by the physician Antonius Musa.** When the regular treatment with hot poultices failed to relieve a pain in the It has been suggested liver, he applied cold ones. that Augustus was suffering, not from a liver abscess, such as Celsus has described (vol. I, p. 415), for which such hot applications were given, but from typhoid ;

;

;

« "

« "*

Pro. 74. Pro. 30 fif. Pro. 71 ; see also VI. 6. 8 Suetonius, Augustus, 81.

E and

noted.

A2

^"^

INTRODUCTION fever, and that Antonius Musa applied a cold pack," a treatment still used, a well known instance is that of King Edward VII, who, when Prince of Wales, was The bold in danger from typhoid fever in 1871. originality of the remedies applied by Petron were still remembered by Galen writing a century later/ A similar type of" shock " remedy was the treatment of epilepsy by a draught of gladiator's blood and of hydrophobia by throwing the patient into a pond,* though the latter may have been more of a homeopathic nature, and would certainly cause the death of a genuine case, though it might be effective in the cases of hysterical symptoms simulating hydrophobia which, as Pasteur observed in his native district, often accompany an outbreak of the disease. But such methods were not always safe, and though they sometimes resulted in spectacular cures, they sometimes killed the patient. / Turning to the actual ingredients of the prescriptions, the greater part were derived from herbs and vegetables, which, as Celsus himself points out 3 have been used medicinally from the earliest times and by the rudest tribes, but, in addition, many animal organic and inorganic substances were employed. If the herbs used by Celsus are compared with those in a modern materia medica, it will be seen that though many are the same, he often mentions plants which are no longer used, as the drug which they contain can be obtained in a stronger form, or one more satisfactory for use, from some other **

'^

Cf. Buchan, Augustus, pp. 161, 162. « Galen, I. 144, XV. 436. III. 9. 2-4. "111.23.7. 'V. 27. 2C. f III. 9. 4. » I. Pro. I. "

*

INTRODUCTION source " in other cases the preparation which he used was evidently much weaker or appHed for some other purpose than to-day,'' and some of the most important drugs are missing from his list." ;

In the same way among the inorganic substances, arseniq iron and mercury are only used externally. **

Internal Remedies Purgatives are comparatively few and treatment by clystering the bowel was preferred by Asclepiades,

whom

Celsus is inclined to follow, but he mentions several substances as useful for the purpose, aloes, Castor oil is not hellebore, sea-spurge, and others.* included. For inducing a vomit he recommends only ° The squill provided a substance akin to digitalis (which Celsus does not know) but less satisfactory in use. * Opium and castor oil (see list below), papaver and cicinum (sc. oleum). " For instance strychnine (prepared from strychnos, nux vomica, a plant from the E. Indies) which was first used in comparatively modem times and aconite (aconitum napellus), EtUl a frequent ingredient of hniments, though seldom preAconite had been known as a scribed now for internal use. poison from the time of Hippocrates and the staphis agria, identified by Celsus with uva taminia (1.316 and list below) is said by Phny [N.H. XXIII, 17) to be a kind of larkspur (delphinium staphisagria). He used it as a vermicide and under the name " stavesacre " it is still so used in the United

States.

no mention of calomel, bismuth, iron or magnesia The only trace of iron used internally water in which is in the popular remedy for enlarged spleen mercury a smith's red hot tools have been dipped (I. 416) Celsus only mentions in the form of cinnabar, used externally, ''

There

is

as internal medicines.

—

;

see Ust s.v. '

I.

3.

minium.

25;

II.

12;

copper chips were also used, see

list

ats.

xi

; ;

INTRODUCTION the simplest means, tepid water with salt, mustard, honey or hyssop, or a radish " pills, pastils and draughts were prescribed for the relief of pain, cough and bladder trouble, and to induce sleep.* The " antidotes " were a class of remedy held in high esteem Celsus said they were not often used, but were important because of the help they gave in the gravest cases. He gave the prescriptions for three they are mildly stimulant mixtures chiefly characterised by the very large number of their ingredients it is difficult to see what value they can have had beyond a shghtly tonic effect." ;

;

External Remedies It

is

noteworthy what great importance Celsus

attached to tannin in local applications. This substance, now generally recognised as a useful immediate application for burns and scalds, was the chief effective constituent in many of the substances included in his prescriptions. In addition to the plasters, poultices and other applications whose use is sufficiently explained in the text itself, one large class of remedies may be grouped under the modern term antiseptics, though no general name is applied to them by Celsus.'' These substances have the general characteristics of opjjosing the growth of micro-organisms in wounds and of promoting a free discharge, they include the essential oils, especially rose oil (obtained by steeping the petals in cold water, and keeping them in the cold air till the oil rose to the top and was skimmed off). « 1, 3. 22.

"

V. 24, 25.

'

V. 23.

There were many others, see Galen on Antidotes, a work devoted to such medicines (vol. XIV, of Kiihn's edition). "*

INTRODUCTION thyme oil, pitch and turpentine. The phenol or carbolic acid derived from gas tar and used by Lister as an antiseptic was akin to the thymol derived from thyme

flowers,

though the

latter

was weaker

in its

The

antiseptic which largely replaced phenol in surgical practice was mercuric chloride. Celsus action.

frequently recommends orpiment and sandarach, the arsenic sulphides, for cleaning wounds and ulcerations, but as antiseptics these are much weaker than the mercury chloride. Salt solution, so largely used in

the great war in the treatment of wounds, was used in ancient medicine for the same purpose, that of prompting a thin discharge, and is often mentioned

by Celsus." Homoeopathic and Rustic or Popular Remedies Throughout history a knowledge of herbs and drugs and their medicinal uses has been connected with the early systems of philosophy and occult lore. The " doctrine of signatures " expressed the popular belief that certain plants and minerals bore symboUcal marks which indicated the diseases which nature intended them to cure, or that their outward appearance corresponded with the bodily condition of the patient.'' Traces of this theory and of a belief in sympathetic magic are to be found in many of the remedies, especially the rustic or popular remedies, " " mentioned by Celsus.

A sympathy or

"

See

list

s.v.

eoL.

A

split fig,

homoeopathy

which he mentions as a

common application on wounds (vol. II., pp. 159, 161, 289) was used for the same reason, as the sugar in the pulp would promote a thin discharge. * For an account of the " doctrine of signatures " cf. T. J. Pettigrew, Superstitions connected with Medicine


Surgery,

INTRODUCTION was believed to exist between the remedy and the disease, and they are "homoeopathic " in a much more fundamental sense than that in which the term is used by those who claim to practise homoeopathy Instances of such remedies are the black to-day. hellebore (a powerful aperient) supposed to be especially effective in the black bile disease (melancholia),** or the white hellebore given to reduce swollen glands in the neck because it tended to produce expectoration of white phlegm.'' Ox spleen was given as a remedy for enlarged spleen," a poultice of pole reed was applied to a gathering on the hand caused by a splinter, because the commonest source of such splinters was the pole reed ; ^ a decoction of worms boiled in oil was poured into suppurating Other well known ears where there were maggots.* examples, not mentioned by Celsus, are the application of the roots of the lesser celandine (pilewort) as a remedy for piles, because small excrescences which grew on them resembled the disease, and the use of red light and red cloth in treating smallpox with the idea of bringing out the rash and so evacuating the disease, though here again the treatment has been thought to have a real value as excluding harmful rays from the skin.-'^ « II. 12. 1

B. V. 28. 7 B (vol. II., p. 140 note). * IV. 16. 3. This no doubt originated in the idea that the remedy should resemble the disease; on the other hand the modem treatment of thyroid disease by thyroid extract or liver disease by hver, is at once brought to mind. " V. 26. 35 C. « VI. 7. 1 D. f For many other instances see Sir J. G. Frazer, The Oolden Bough, The Magic Art, vol. I, p. 78. »

xiv

;

LIST OF

MEDICAMENTA

(References are to volumes I.

LIST OF

and pages of text)

REMEDIES USED AND THE

DRUGS, HERBS AND OTHER GREDIENTS OF PRESCRIPTIONS Abrotonum (Habrotonum)

;

IN-

Artemisia abrotonum

southernwood. This yields a bitter oil resembling that of hops and was used internally as a carminative, I. 316, 386, and topically to clean wounds, II. 6, 10, and to relieve gout, II. 30. Absinthium Artemisia absinthium. ;

The twigs supply wormwood the dried flowers ;

wormseed, from which the bitter oil, absinth, was distilled this was taken with honey as a carminative and diuretic, I. 204, 210, 316, 340, 382, 398, 400, 414, 416, 422, II. 64. It was a remedy against worms, I. 438 santonin, made from certain species of artemisia is still used for this purpose. It was also used topically, I. 412. Wines were flavoured with it to make them keep, ;

;

I. 498. The harmfulness of the modern absinth liqueurs is due to the deleterious alcohol used in their manufacture. Acacia Acacia Arabica. ;

The gum mucilage from

this, which included astringent tannin, was used to arrest bleeding and agglutinate wounds, II. 4, as an exedent,

XV

MEDIC AMENTA

LIST OF

8, and generally as an astringent gum in eye salves and lozenges. The juice was also II.

II. 190 note, 196. vinegar. As a drink, I. 196 fF. ; used constantly both externally and internally, I. 212, 258, 270, 286, 292, 308, 310, 338, 346, 366, 388, 390, 394, 398, 406, 416, 438, 458; mentioned, II. 4, 8, as a

used,

Acetum

;

styptic

and exedent.

name of a salve, II. 194 and note b. Acopa; Anodynes, substances to deaden pain, 56 note 6. See Anodyna. Acorus Acorus calamus sweet flag. The rhizome was dried and eaten, or the

Achariston

;

II.

;

;

oil

included among diuretics, III. 316, as an ingredient in an antidote, II. 56, and perhaps (under the name of calamus Alexan-

pressed out of

it

;

it is

drinus) in an anodyne salve, II. 56. Adurentia (medicameJita quae adurunt, caustics); a list

of these

is

given,

Aes Cyprium or Cuprum

;

II. 8, see also

130

ff.

copper.

Many

forms of this were used in prescriptions ; basic subacetate and carbonate of copper or verdigris. This was scraped off sheets of copper which had been steeped in vinegar and used as an astringent, repressive or (1)

Aerugo

;

caustic, II. 4, 6. 8. (2) Chalcitis ; basic carbonate

and sulphate oi This was

copper, copperas or green vitriol. mixed with oak bark or galls to

make

atra-

mentum sutorium, blacking, and used as a caustic and exedent, to arrest haemorrhage, to clean wounds and form a scar, II. 4, 6, 8, 10. calcined copper ore. (3) Aes combustum ;

xvi

MEDICAMENTA

LIST OF

This was used as an erodent, II. 8 or was fused with salt, sulphur or alum into a sulphate chloride and oxide of copper and used to make emollients and eye salves, II. 10, 194, 204, 210-14. red oxide of (4) Flos aeris or Chalcanthus copper. This substance was like millet seeds and was produced by pouring cold water on molten copper and used as an exedent, II. 8, or as an agglutinant for wounds, II. 8, 10, 44. black oxide of copper, (5) Squama aeris ;

;

;

copper scales. These were chipped off molten copper, and when washed, pounded and dried acted as a mechanical aperient, I. 168. borate, carbonate and silicate (6) Chrysocolla of copper, gold solder. This was used as an erodent and caustic, ;

II. 8.

(7)

Diphryges

;

sulphide and oxide of copper,

mixed with iron and

zinc ores.

This was used as an exedent and caustic and for cleaning ulcerations, II. 8, 50. red oxide of copper, copper (8) Stomoma scales hardened in the fire. ;

These were used to arrest haemorrhage and making an eye salve, II. 4, 194. itch salve, consisted of chal(9) Psoricum citis and cadmia (see below Cadmia) boiled together in vinegar to form hydrated oxides of copper and zinc, and then buried underground till used, II. 218, 220 the preparation was also in

;

;

applied to the eyelids,

II. 220.

:

LIST OF

MEDICAMENTA

II. 8, 28, 174; probably a species of perhaps leather coral. It was incinerated to produce quick lime and used as an exedent and

Alcyonium; coral,

for skin diseases.

Alipe

;

Allium

plasters without grease, II. 32. ;

Allium nigrum,

As a

food,

I.

192

garlic. fF.,

490; a febrifuge,

I.

see also I. 208, 330, 370, 390, 424, 436, 438,

used topically as an erodent, Aloe; (1)

276; 448;

II. 8.

Aquilaria agallocha, lign-aloe.

The perfumed wood of

this yields

an

oil

and

decays into a resin used in making incense and it was rich in tannin) applied as a topical astringent; to suppress haemorrhage, II. 6, to agglutinate wounds, II. 44, and as an ingredient in eye salves, II. 194, 196, 212, and ear lotion,

also (as

II. 232.

aloen. (2) Aloe Socotrina This was (and still is) used as an aperient, ;

I.

62.

Alumen; Aluminium sulphate and silicate; alum. The following varieties were used styptic, (1) Alumen Uquidum; alum brine, a II. 4.

(2)

Alumen scissile

alum, a repressive,

(schiston)

;

split or feathery

II. 4, 44.

rotundum; round alum; an and erodent, II. 6 and 10. silicate and carbonate of alu(4) Pumex; minium (and other alkalies), pumice. This had been formed by volcanic action and was used for cleaning wounds or as an epispastic, II. 6, (3)

Alumen

epispastic

24, 28.

LIST OF

MEDICAMENTA

rock alum from Phrygia (5) Lapis Phrygius and Cappadocia coloured by iron and copper sulphates an exedent, IL 8 in an eye salve, ;

;

;

218.

Alum

earths; terra Eretria, II. 10, 180; Cimolia, glutinous hydrated silicate of aluminium coloured by iron and copper, I, 212, 304; IL 4, 102, 124, 184, 534; terra MeHa, silicate of aluminium (alumen Melinum), II. 2, 288; cf. PKny, N.H., xxxv. 188. 87, also Hippocrates, Ulcers, 11, 12 (Littre VI. 412, 414) ; terra Lemnia, silicates and sulphates of aluminium, magnesia and iron; the well known rubrica Lemnica, red ochre, was exported in packets stamped with the figure of a goat, as the colour due to oxide of iron was ascribed to an admixture of goat's blood; similarly terra Samia, alum earth from Samos, was exported with a star (6)

terra

stamped on

it,

IL 204 note.

Alvum ducunt, medicamenta quae enemas,

I.

62, 168, 172, 208

;

;

purgatives and see below 10

II.

;

Purgatio and General Index Clyster, Enema. Amaracus ; Origanum majorana, sweet marjoram. Used as a discutient, II. 10. Ambrosia name of an antidote (so called from its success in preserving life), IL 54. ;

Ammoniacum (Hammoniacum) thymiatum Dorema ammoniacum or Ferula Tingitana, silphium. ;

The milky juice of this plant (specially cultivated around the temple of Jupiter Ammon) was used for incense; it formed a resin containing salicylic acid and a volatile oil which was much used by Celsus, as a cleanser of wounds, II. 6, and a discutient and emollient, IL

16-30, and in

xix

LIST OF

MEDICAMENTA

and plasters, 11. 36, 38, 210, 214, 216.

poultices II.

Ammoniacum

Amomum

sal

see

;

Anastomotica

;

and eye

salves,

see Sal.

Cardamomum.

openers of pores, II. 6 note, 26. Pimpinella anisum, anise. Aniseed (still a common flavouring) is indigestible as a food, I. 200 fF., 490; used against flatulence and as a diuretic, I. 206, 210, 340, 418. Anethum Anethum graveolens, dill. Among foods, I. 200 fF., 208, 448, 490, 491 as a diuretic, I. 210, 488 as a snufF, I. 272.

Anesum

;

;

;

;

;

Anodyna; Anodynes

(see Acopa, also Hyoscyamus. Mandragora, Papaver, Solanum). (1) Prescriptions I.

given as

pills, II.

58

;

see also

211.

(2) Used topically, I. 458, also II. 56 note, 191. Antherae; preparations from flower blossoms, II.

254 note, 258, 260, 264, 272. Antidota; antidotes, II. 54, note, 56. The word is not used when remedies against individual poisons are described, II. 122. Antiseptics ; essential oils from aromatic plants and trees ; especially cedar, cinnamon, juniper, pine, thyme, used for their antiseptic qualities, II, xii.

Apium; Apium

graveolens, celery or Petroselinum sativum, parsley. As a diuretic, I. 210; see also I. 416, 418, 450, 491.

Apyron see Sulphur. Argemonia Papaver argemone, prickly poppy. The soothing mucilage of this contains a small Argenti spuma see Plumbum. ;

;

;

;

LIST amount

t>f

OF MEDICAMENTA

opium and was applied to poisonous

stings, II. 120.

Arida Medicamenta dry drugs pounded, used as dusting powders, II. 48; and blown through a quill, II. 156, III. 448 or formed into pastiles by means of a little fluid, II. 14. Aristolochia ; A. longa and A. rotunda, birthwort. The root yields an irritant glucoside, which was used in poultices and plasters, II. 20, 30, 34, ;

;

38, 46, 50, 52, 62.

Aromata;

Dried aromatic flowers imported from

abroad,

316 II. 14, 212. Cochlearia armoracia, horse radish. This was prescribed as a remedy for spleen affections, I. 416 II. 106. Arsenicon see Auripigmentum. Arteriace a medicine for the windpipe, II. 64, note b. Arundo (Harundo) ; Arundo donax, polereed. The juice of the root was used for earache, II. 228; its sphnters were dangerous, II. 106-8. Asafoetida see Laser. Asclepion name of a salve, II. 214. Aspalathus ; Calcycotoma villosa. A decoction from the rose scented wood of this (lignum rhodium) was applied to painful sinews,

Armoracia

I.

;

;

;

;

;

;

;

II. 58.

Atramentum

;

blacking

A. scriptorium, ink made from the soot of torches, used as an application for baldness. (1)

II. 182.

(2)

A. sepiarum,

aperient, (3)

I.

cuttle-fish

ink,

used as an

208.

A. sutorium,

Auripigmentum;

see Aes, 2. AS2S3, the j'ellow trisulphide of

xxi

LIST OF

MEDICAMENTA

orpiment ; sandaraca, AsgSg, the golden disulphide of arsenic, sandarach (modern realgar), which becomes orpiment when heated. The two forms were used alternatively in prescriptions (in some both were included) for cleaning wounds, and as erodents, caustics and arsenic,

counter irritants, II. 6, 10, 28, 50, 52 they were used in the treatment of all sorts of ulcerations. ;

II. 154, 162,

208, 246, 264, 286, 290.

Celsus does not mention them in his chapter on poisons, II. 110 ff. nor does he refer to the poisonous arsenious oxide, white arsenic, produced by the oxidation of orpiment and sandarach which was known to Geber in a.d. 750, but was perhaps not in use earlier. ;

Balanos myrepsica (JSdXavo^ /xvpeif/iKi^), or M)tobalanos Hyperanthera decandra, bennut. The rind was used for spleen disease, 1. 416 II. 18, an ointment was also made from it, II. 110 note. ;

;

Balsamum; Balsamodendron opobalsamum, balsam of Mecca B. myrrha, myrrh. The resin of these trees was known as opobalsam and an almost equally valuable essence was obtained by boiling the wood, leaves and ;

seeds (xylobalsam). It was used internally as a diuretic, I. 316, and the seeds in an antidote, II. 54, 56 externally as an erodent, suppurative, wound cleaner and ;

emollient, 20,

and

an eye

II. 6, 8, 12, also in poultices,

as a

remedy

for neuralgia, II. 58,

and

in

salve, II. 220.

Basihcon a name given to a plaster, eye salve, II. 218, 220. ;

II. 16,

II. 32,

and to an

;

LIST OF Bdella

or

Bdellium;

MEDICAMENTA Borassus

flabelliformis,

the

Palmyra palm. This tree yields a resin externally emollient,

Bitumen

;

a

as

ammoniacum

like

which was used for incense. pore-opener,

Celsus

used

epispastic

it

and

II. 6, 10, 18.

found in the Dead Sea and Euphrates

valley.

This was used on plasters as a mild counter I. 348 II. 6, 10, 32, 34, 40, 44, 250.

irritant,

Cachry

;

perhaps the fruit of the herb Libanotis, (Lecokia Cretica), the medicinal uses of which are given by Theophrastus, Enq. into Plants, IX. ;

II. 10.

Used by Celsus

in a prescription for abscesses,

II. 18.

Cadmia

(terra)

Zinc ores from Cyprus, which when heated in water produced carbonates and hydrosilicates of zinc these stuck to the reed {calamus) with which the mixture was stirred, and so the name " calamine " is still applied to zinc lotions. Cadmia, when heated, gave off zinc oxide vapour which was sublimated and adhered to the wall of the furnace in clusters ; these consisted of oxide of zinc and were scraped off and known as spodium (ash). Cadmia was used as an exedent, desiccant and extractive, II. 6, 50, 344, and in the treatment of malignant ulceration, II. 154 the clusters (botruites Cadmiae, spodium) to relieve irritation, II. 10, 166, and also for eye salves, II. 194, 204; III. 344, and for earache, II. 234. ;

;

xxiii

;

LIST OF

MEDICAMENTA

Calamus (1) C. (2) C.

Alexandrinus, see Acorus. scriptorius, a reed or quill pen, see

list II.

Calefacientia ; heating foods, medicines or applications ; I. 62, 206, 214 ; II. 16.

Calx; limestone; (1) Calx viva

calcium oxide, quick lime an exedent and caustic, II. 8. (2) Cinis, ash, produced by burning various substances containing lime e.g., stag's horn (cornu cervinum), used as an exedent, erodent and caustic, II. 6, 8, see also Alcyonium, Corallium, Salamandra. (3) Limestone from Assus, used as a preservative, see index of proper names, Assus. calcis silicates of lime, and (4) Saxum magnesia, asbestos used as an application for a hardened fistula, II. 154. millstone, used as a dis(5) Lapis molaris ;

;

;

;

;

;

cutient, II. 10. pyrites ; limestone mixed with (6) Lapis sulphides, used as a discutient, emollient, and to

relieve irritation, II. 10, 22, 166.

the sulphate mixed with the (7) Gypsum carbonate of lime, plaster of Paris, used as an external refrigerant and repressive, II. 212; ;

III. 304.

Campana

sertula see Sertula. lingua; Cynoglossum officinale, houndstongue. The leaves yield a bitter astringent juice, which was applied to burns, II. 124. Canopus name of a salve, II. 214.

Canina

;

;

;

;

MEDICAMENTA

LIST OF

Cantabrica herba see Scammonea. Cantharides Cantharis or Lytta vesicatoria, Spanish ;

;

fly.

Used externally as a caustic and cleanser for wounds and papules, II. 8, 50, 172. If taken internally it was poisonous, and remedies are prescribed for

Carbo hirundinis

;

it,

see

II, 122.

Hirundo.

Cardamomum

Amomum cardamomum

(1)

subulatum

;

Ne-

paul pepper, I, 296 II. 20, 22. (2) Elateria cardamomum, cardamon. The seeds (brought from Malabar and Ceylon) produce an aromatic oil, used internally as a diuretic, I. 316, and externally as a counterirritant, agglutinant, erodent and emollient, II. ;

4, 8, 12.

Casia, Cassia

;

see

cinnamon.

Castoreum

A material derived from the genitals of the Castor fiber, beaver. It had a pungent taste, suggesting musk, was used internally as a stimulant,

I.

and ear Cataplasma Catapotium

286, 310, 338, 376, 448, externally in eye salves, II. 196, 240. poultice, I. 214. See also Malagma. ; pill, I. 316 ; II. 58-64. Eight of the ;

prescriptions are to procure pain, four for cough.

Cedrus

;

sleep or relieve

Juniper communis. oil from the berries was used externally

The

as a discutient, II. 10,

and

in poultices for gout,

II. 30.

Centauries

The

;

Centaurea salonitana, centaury. from the roots was used

bitter juice

in-

XXV

;

LIST OF

MEDICAMENTA

ternally against snake bite, II. 120, and externally for ear discharge, II. 230. Cera ; wax, used as a discutient, emollient and to form flesh, II. 10. See also I. 272, 368, 378, 384, 410, 442, 446, 448, 458, 460; ceratum, cerate,

an ointment made Cerussa

;

see

Chamaeleon

-with

wax.

Plumbum.

Atractylis gummifera, a thistle, whose and birdlime) was used in a poultice for gout, II. 30.

gum

;

(similar to mastic

; Ajuga chamaepitys. This yields a bitter astringent juice, like pine resin, used as a pore opener, II. 6. Charta combusta see Papyrus. Chelidonium maius or Herba hirundinis the greater celandine, see II. 226 note. The juice was applied to an inflamed uvula,

Chamaepitys

;

;

II. 262.

Cicinum oleum; an oil produced from the seeds of the Ricinus communis, castor oil. Celsus It was used as an emollient, II. 42, 58 does not mention its use as an aperient, but this is referred to by Dioscorides and Galen. Cicuta Conium maculatum, hemlock. Used internally as an anodyne, 11. 62; externally as an emollient, 11. 12, and in a poultice for gout, II. 16, and in an eye salve, II. 190. Remedies for those poisoned by it, ;

;

II. 122.

wood-ash (especially from vine twigs). as a refrigerant and repressive, II. 212 cinis Cjrprius (from Lawsonia inermis III. 298 used as an erodent, II. 8. Cinnamomum cassia from China Cinnamomum Cinis

;

Used

;

;

xxvi

LIST OF

MEDICAMENTA

C. zeylanicum from Ceylon, cinnamon or casia. In two prescriptions (I. 450 ; 11. 30), both names occur. They were perhaps preparations from different parts of the plant. The unripe fruit or the rolled bark were used internally as a diuretic and remedy for cystalgia or snake bite, I. 316, 414, 450 or externally as a pore opener, erodent and discutient, II. 6, 8, 10,

and

for podagras, II. 30.

Coccum

(or granum) Cnidium (Gnidium) Gnidium, spurge laurel (from Cnidus).

Used by Celsus externally and

caustic,

and

as a

;

wound

Daphne cleanser

in a poultice to ease pain in

20 he does not mention the use of the berries as a drastic purge (Galen, Nat. Fac, p. 67, L.C.L. trans.). Colicos a medicine against colic, invented by Cassius, I. 430 ; II. 64 note. salves, II. 154 note, and list II. Collyria side, II. 6, 8,

;

;

;

Comprimentia

;

astringents,

I.

36, 64, 208, 432, 444,

452; 11.280. Concoctio assimilation of food stuffs, digestion, I. 74, 326, see General Index, Digestion. Medicamenta quae concoquunt, drugs to mature abscesses, II. 6. see also Corallium ; coral. C. rubrum, red coral Alcyonium cortonium, leather coral. Both substances were incinerated for the quick lime in the ash and they are included among erodents, exedents and caustics, II. 6, 8. Coriander Coriandrum sativum, coriander. As a diuretic, I. 210 see also I. 206, 212, 316, 491 used externally, II. 16, 166 note. Cornu cervinum stag's horn. When incinerated used as a wound cleanser, ;

;

;

;

;

;

;

LIST OF

MEDICAMENTA

the ash contained quick-lime (calcium some phosphate and carbonate, see Calx ; the vapour of it while burning was a stimulus in cases of lethargy, as it included a little ammonium carbonate, and when cooled in vinegar it was a remedy for toothache, I, 308 it was boiled to a glutinous mucus for II. 248 use in an eye salve named after it, see 11. 208, note a. Costus costmary. The roots of Saussurea Lappa, a plant of Kashmir, the oil from which was used internally in an antidote and as a stimulant in cases of snake bite, II. 54, 120, and externally as a suppurative and wound cleanser, II. 6. Calcium carbonate, chalk. Creta (1) Creta Cimolia, chalk from Cimolus mixed with alxma, see Alum (6) ; used externally as a III. repressant, I. 212, 304 II. 102, 124, 184 534 also as a styptic, II. 4. (2) Creta figularis, potter's clay, a styptic, II. 4; cf. Pliny, N.H., xxxi. 3, 28. Crocus Crocus sativus, the autiman flowering crocus. From the styles and stigmas saffron, a condiment with a slightly bitter taste, was obtained, and from this an orange-coloured oil was expressed which left a residue known as crocomagma, II. 6, as

oxide) with

;

;

;

;

;

;

;

dregs. The best variety came from Saffron was used internally as a diuretic, I. 316, and in an antidote, II. 54, externally in an ointment for headache, I. 296, as a wound cleanser and discutient, II. 6, 10, as a remedy against scabies, II. 168, and especially as an ingredient of eye salves, II. 194-220, one of

saffron

Cilicia.

xxviii

LIST OF

MEDICAMENTA

was named the dia Crocomagma was also used

which

214,

11.

and

in

the

crocu, in

of

poultice

220.

II.

an eye

salve,

Nileus,

II.

20, 22.

Cuminum cyminum, cummin. Among foods, I. 200 fF., 416, 491 see Git. Cummis a gum niucilage, source not specified often used with acacia gum and juice, I. 448 II. 4, Cuminum

;

;

;

;

;

10, 190, note a, 196.

Cupressus

;

C. sempervirens, the pyramidal

ever-

green Cyprus.

Wood, leaves and seed yield oleum cupressum containing an aromatic and astringent tannin; the crushed leaves were used internally as a repressive and refrigerant, I. 312, and the seeds externally the leaves were as a diuretic, I. 316 used in a poultice for spleen disease and the oil as a discutient and for erysipelas, eye salves, and gum boils, I. 416; II. 10, 102, 208, 258, and a decoction of the leaves was put in a bath for use after lithotomy. III. 448. Cycnon name of an eye salve, II. 196 note a. Cyperus quadratus and C. rotundus see luncus. Cyperus papyrus see Papyrus. ;

;

;

;

Cyprus

;

Lawsonia

alba.

From the

leaves with their lilac-like perfume oleum cyprinum, Cyprus oil, was distilled and used as a calefacient, I. 214, and for tetanus, dyspnoea, enlarged spleen, hysteria, and podagra, I. 378, 384, 446, 460 ; the oil was an emollient and an ingredient in eye and ear salves, II. 58, 220, 228 ; cyprus ash (Cyprius oinis) contained caustic soda and is included among exedents, II. 8.

xxix

;;

LIST OF Cytisus

MEDICAMENTA

C. scoparius, broom.

;

The broom tops contain the

alkaloid spartein,

and a decoction was used for splenitis, and for toothache, II. 248, 250.

Daphne

;

A see

III. 416,

Dia-daphnidon. plaster containing laurel leaves,

II. 10,

36

Laurus.

Daucus Creticus; Athaminta Gretensis, Cretan or Candy carrot.

An ingredient of an antidote, II. 56. Diaceratos, Diacodion, Diadaphnidon, Diacrocu, Dialibanu see Cornu cervinum, Papaver, Daphne, Crocus and Libanotos. Diachylon; Emplastrum plumbi, lead plaster, see ;

Plumbum. Diaphoretics

;

see Sudorem evocare.

Dictamnus Creticus

;

Origanum dictamnum, Cretan

dittany (called after

Mount

Dicte, in Crete,

grew in abundance) was a famous remedy for,wounds, cf. Virgil Aeneid, XII. 411. The volatile oil from this is prescribed for expelling a dead foetus, II. 64. Diphryges see Aes (7). where

it

;

Discutientia {Medicamenta quae discutiunt) dispersives of diseased material, I. 36, 178, 276, 394 ;

II. 10.

Ebenus or Hebenus

;

Diospyrus ebenum or melan-

oxylon, ebony.

The sawdust from this containing humic acid and black pigment (a remedy used in ancient Egypt) was prescribed by Celsus internally as

LIST OF a diuretic, epispastic

Ebur, ivory;

I.

316

MEDICAMENTA ;

externally as

an exedent,

and

relief for irritation, II. 8, 10. the raspings were used as a wound

cleanser, II. 6.

Elaterium; Ecbalium or Mormodica elaterium, juice of the wild cucumber, Cucumis agrestis. Used as an epispastic, II. 10 the root in a poultice for pain in the side, II. 20 the root and juice for pain in the uterus, II. 48 the root to heal wounds, II. 108; the juice for sycosis ;

;

;

and toothache, II. 180, 250. Elephantinum name of a plaster containing white lead, so called from its likeness to ivory, II. 42. ;

Emollientia

;

emollients,

I.

212, 214

;

II.

10

;

see also

Malagma. Emplastra plasters, List of, II. 32-44, also 14, 24, distinguished from pastils, II. 44, by the 46 method used in compounding, and from emollients by the materials they were divided into classes, alipe, without grease, lenia, soothing, many lipara, greasy, septa, exedent, II. 32, 42 had names, barbarum, Coacon, Alexandrinum, smaragdinum, rhypodes, raptousa, diadaphnidon, enhaema, which referred to the place whence they came, their colour, material or effect, II. Others were called after their 32, 36, 38, 42. ;

;

;

;

inventors, Philotas, Attains, etc., II. 32

ff.

;

two

common

use were the tetrapharmacum and enneapharmacum with 4 and 9 ingredients, II. There were also emplastra reprimentia or 34. Pitch plasters, I. 326, epispastica, II. 32, 36 ff. 346, 366, and mustard plasters, I. 346, 434, were among those commonly used. Enchrista; liniments and liquid ointments, II. 58, in

xxxi

:

LIST OF

;

MEDICAMENTA

only two prescriptions are given under

note

;

this

heading

(for ulcers

and

erysipelas).

Epispastics, substances that extract Epispastica diseased matter, II. 10, 16, 36, 38. Eruca Brassica eruca, rocket. The plant yields an oil like mustard with an acrid flavour and was indigestible when eaten, it increased the secretion of urine, I. 200, 202 I. 210, 452, and reduced an enlarged spleen, applied externally the oil acted as an I. 416; erodent, I. 212, and caustic, 11. 8. Ervum ; Ervum ervilia, bitter vetch. In a poultice, I. 214 II. 156. Erysimum; Sisymbrium polyceratium, hedge;

;

;

;

mustard.

The

was used in a poultice to open pores, and was administered internally in cases

oil

II. 26,

of difficult labour, II. 64. substances that eat away diseased II. 6 note b, 8.

Exedentia

;

flesh,

; F. vulgare, Anethvun foeniculum, fennel. This was indigestible when eaten, I. 200, but relieved flatulence, 206 was used as a diuretic, 1. 210, and the seeds (externally), as a repressant

Feniculum

;

and refrigerant, I. 212. Ferrum oxides, silicates and sulphates of iron ;

Lapis haematites, haematite, ferric oxide (FcgOg) mixed with silicates and sulphates oi aluminium the name came from the colour which resembles dried blood. (2) Bolus rubra or rubrica, ruddle or red ochre sulphates and sulphides of iron, especially from Sinope, see Index of Proper Names, s.v. (1)

;

xxxii

LIST (3) Sil

OF MEDICAMENTA

or yellow ochre, oxide and sulphate of

iron. (4) Sory or inkstone, sulphates of iron with copper and lead. (5) Scoria ferri, iron slag silicates of iron.

composed of oxides

and

(6) (7)

Ferrugo or Robigo, iron rust. ferri, scales chipped of from red

Squama

hot iron bars, ferrous oxide (FeO). These substances are only used externally, to arrest haemorrhage, clean wounds, as exedents and erodents, II. 4, 6, 8 the yellow ochre from Attica and Scyros made flesh grow (see Index sory was used in a of Proper Names, s.v.) prescription for loosening a carious tooth, II. 248. Celsus only mentioned the internal use of iron once as a " rustic remedy " for enlarged spleen " water in which a blacksmith has dipped his red-hot irons," I. 416, but treatment by ;

;

—

ferrugo, iron rust, was mentioned by Pliny, N.H. xxxiv. 43, and fully described by Dioscorides v. 93. Ficus (1) F. Carica contains the digestive ferment ;

papain and externally was used on wounds, II. xiii see General Index, s.v. Fig. (2) F. Aegyptiaca ; see Sycaminus. Polj^odium vulgare, the polypody fern. Filicula This contains a saccharine material resembling liquorice and was used as an aperient, I. 168. This fern was also a frequent source of splinters in the hand, II. 108. ;

;

Foenum

Graecum ; Trigonella foenum-graecum, fenugreek. The plant itself was eaten as a vegetable, I. 491 ; its oil was used in enemas, I. 172, and xxxiii

VOL. u.

B

;

MEDICAMENTA

LIST OF

heating poultices, I. 214; also in a bath to relieve spasm, I. 378. Furfur bran (for poultices), I. 214, 218 ; in a gargle, for snake bite, II. 17, 118. I. 382 ;

;

Ferulago galbanifera, galbanum, see Panaces. This yields an aromatic resin (used for incense, Exodus XXX. 34) and was prescribed internally as a diuretic, I. 316, and for dyspnoea, I. 386, and externally as a suppurative, pore-opener, erodent and emollient, II. 6, 8, 12, as an ingredient in a poultice for contracted joints, II. 28, and as an antidote for cantharides poisoning, the fumes were inhaled as a stimulant, II. 122 1.308. Galla Oak gall (chief constituent gallic acid). Used externally as an astringent, erodent and exedent and to relieve inflammation, II. 6, 8, 46 especially for inflamed gums, II. 370. Gargarizationes gargles, II. 52-54. Gentiana Erythraea centaurium, gentian, fever-wort. The bitter juice of the roots has been in use from the earliest times as a stomachic remedy and febrifuge, but Celsus only once mentions it, in the prescription for an antidote, II. 56. Git Nigella sativa. melanthium, melanospernum or black cumin. The seeds, like carraway, but hotter, and more like nutmeg, were used as a spice, I. 200, also for worms, 438 internally as a diuretic, I. 416 and uterine trouble, 448 externally in heating II. 16, and as an apphcation poultices, I. 214

Galbanum;

;

;

;

;

;

;

;

;

;

for papules, II. 172.

xxxiv

;

LIST OF

MEDICAMENTA

Gluten Glue made from hides and horns was used as an agglutinant and cleanser of wounds, II. 4, 6, or to keep eyelashes in position, III. 338. Joiners' glue is referred to, III. 518. Glutinantia {Medicamenta quae glutinant) nants (of wounds), II. 4, 44, 82.

Habrotonum Halicacabus

;

see

;

see

Hammoniacum Hedera

;

;

;

aggluti-

Abrotonum.

Solanum. see

Ammoniacum.

Hedera Helix,

ivy.

Decoctions of the leaves and berries yield helicin and tannin and were used externally as repressants and refrigerants, I. 212, for the relief of lethargy, I. 310, and erysipelas, II. 138; berries were used in dental treatment, U. 250, and to promote the healing of wounds, III. 554. Helenium; Inula helenium, elecampayne {see Panaces). The root yields a bitter (helenin) and a glucoside (inulin). It was used externally for the relief of coxalgia, I. 452, and as a dispersive, II. 10.

Heliotropion ; Herba Solaris, sunflower or turnsole. The seeds and leaves, which yield an oil with a nutty flavour, are prescribed once by Celsus in a decoction against scorpion bite, II. 118. Hellebore see Veratrum. Herba Cantabrica, hirundinis, muralis, salivaris, sanguinalis, Solaris, Vettonica, see Scammonea, Chelidonium, Parthenium, Pyrethrum, Polygonum, HeHotropium, Vettonica, respectively. Hibiscus ; see Ibiscus. ;

XXXV

LIST OF

MEDICAMENTA

Hirundinis carbo swallow's ash, a popular remedy for angina, III. 382. Hirundinis herba see Chelidonium. Hyoscyamus H. niger, swinebean or henbane. This yields the alkaloids hyoscyamine and hyoscine, isomeric, but not identical with atropine they are hypnotics and anodynes. Used by Celsus as a h3rpnotic, I. 296, and the seeds as a local anodyne, I. 348 the bark was used in a poultice for the joints, II. 28, and the seeds to promote sleep {see above) ; the leaves in an eye salve, II. 202, the juice for earache, II. 234, and the root for toothache, II. 246. Remedies against poisoning by it are prescribed, ;

;

;

;

;

II. 122.

Hypericum H. perforatum crispum, St. Johns' wort. The juice was used to make a pastil to expel and in an antidote, stone from the bladder ;

;

II. 46, 56.

Hypocistis

A

;

Cytinus hypocistis.

found on the hips of the dog-rose and the roots of the rock-rose. The astringent juice (chief content gallic acid) was used in an antidote, II. 54, and externally as an exedent, II. 8. Hysopum; hyssop. This has not been identified, I. 491 ; Celsus employed it as a food, I. 200 if. ; as an emetic, stimulant, carminative, expectorant and diuretic, I. 60, 210, 370, 382, 384, 388, 410, 416, 428, 436. scarlet parasite

Ibiscus (Hibiscus) ; Althaea officinalis, marsh mallow. The root yields a mucilage like linseed, which was cooked in wine to make a heating plaster for

;;

LIST OF

MEDICAMENTA

inflamed joints, I. 456 ; Pliny, N.H. XX. 4 (14), copies the prescription from Celsus. Iris ; Iris pallida, Florentina or Illyrica, iris. The root yields orris camphor (commonly

known

as essence of violets)

which was used by

Celsus, in the form of hot iris ointment and oil, externally as a calefacient and cleanser, discutient, repressive and anodyne, II. 6, 10, 12 as a calefacient it was particularly general, I. He also used 214, 270, 296, 378, 384, 412, 448. in poultices for gland enlargements, II. 18, abscesses, II. 20, 56, painful joints and feet, II. 28, and for neuralgia, II. 124. It was commonly used for burns, II. 198, 220, 224, and the hot ointment for eyes, headache, deafness, II. 228, 236, 240, and for dressing wounds of the cerebral membrane, III. 514. Internally it was used as a diuretic and in an antidote, I. 316 it

II. 54.

luncus quadratus Cyperus longus, schoenon. luncus rotundus Cyperus rotundus, sweet flag, rush, sedge, galingale. The rhizomes, flowers and seeds of these marsh plants have a scent resembling bay and orris. The seeds of both varieties were used as a diuretic, I. 316, and the flowers of C. rotundus in antidotes, II. 54, 56. Externally the rhizomes of luncus quadratus were used as a pore opener and discutient, II. 6, 10, and in a preparation to cure uterine ulceration, I. 448. ;

;

Lactuca marina; Euphorbia paralias, sea-spurge, wolf's milk (also referred to by its Greek name Tithymalus).

LIST OF

I.

MEDICAMENTA

This was used internally as a drastic purge, 168, 320 note, externally as an exedent and

caustic, II. 8.

Ladanum; The

Cistus villosus Creticus, rock-rose. resin of this (combed off sheep's fleeces with a ladanisterium), with its musk-like perfume, Celsus is still used in pastilles for fumigation. prescribed it internally as a diuretic, I. 316, and externally as an epispastic, II. 10, and an ingredient of the eroding plasters called septa, II. 40. It was also used to encourage the

growth of hair, Lana; wool.

11. 178, 180.

(1) L. succida or oesypum; unscoured (and therefore greasy) wool. The grease, when it consists largely purified is now called lanolin of cholesterin. It was often used, II. 36 note, See also 280, 282, etc., in topical applications. III. 312, 442. I. 308, 366, 402, 406 ; II. 192 III. (2) L. mollis, soft scoiu-ed wool, II. 250 446 lanula, a flake of wool, II. 250 ; III. 446. with (3) L. sulphurata, wool impregnated sulphur, I. 398, 406. The word absus for a sheet of sulphurated wool is only found in Celsus, I. 406 III. 442, and later in a passage of Scribonius Largus copied from Celsus (Comp. XLIII). For lemniscus, a strip of wool, see III. 454 note. ;

;

;

;

;

Lapatium Rumex acetosella, sorrel. As a food, I. 200 ff. also as an aperient, 208, and febrifuge, 260. Lapsanum Raphanus raphanistrum, white charlock. As a food, I. 204 fF. as a diuretic, I. 210. Laser, Laserpitium Ferula silphium, a mild form of ;

;

;

;

;

asafoetida.

xxxviii

MEDICAMENTA

LIST OF

This was used with grated cheese as a condias a mild stimulant, I. 286, 370, 376,

ment and 390, 426.

the cultivated bay tree. (lauri bacca or daphnis) yielded laurel oil, used as an epispastic and in a plaster called after it diadaphnidon, I. 310, 366 II. 10, 36 and note and internally it was used

Laurus

;

Laurus

nobilis,

The crushed berry

;

;

for liver disease,

Lavandula Stoechas

Hy feres

I. ;

414.

Lavender from the used

(Stoechades)

to

relieve

isles

of

cough,

III. 532.

Lentiscus ; Pistacia lentiscus, mastich. This came from Scio (Chios) and yields a turpentine-like gum now used as a chewing gum, for flavouring wine and for fumigation. Celsus used it internally as a repressive, I. 212, 450, externally as an erodent, II. 6, and for aural Mastich leaves formed part ulceration, II. 232. of an application for ulceration of the genitals, II. 272.

see Cachry. Libanotos or Tus Boswellia Carteri, and other species of frankincense trees the gum was used for incense and in an application to a paralysed limb, dialibanu, II. 204 note, 206, was a plaster I. 346 made from it ; the soot (Juligo) was used as a

Libanotis

;

;

;

;

;

styptic and caustic, II. 2, 4, 6, 8, 24. The gum was sipped in a draught to stop haemorrhage from the mouth and throat, I. 394. Ligustrum L. sempivirens, privet. This yields ligustrin and tannin; it was used externally as a repressive and refrigerant, I. 212 and chewed for ulceration of the gums, II. 260. ;

xxxix

;

LIST OF

MEDICAMENTA

L. candidum, the white lily. roots yield an oil and glucoside used as a discutient, II. 10; unguent made from lilies grown at Susa formed an ingredient in a pessary,

Lilium

;

The

II. 48.

Linum

L. usitatissimum, flax.

;

(1) Dressed flax, lint, II. 84, 88, 102, 148, 208 III. 304, 336, 378, 406 fF., 464, 536 ; penicillus, a

pad of lint, I. 164, 272 II. 196, 200 III. 334. (2) Lini semen, linseed, yields mucilage, glucoside and an ethereal oil, which includes a little hydrocyanic acid. It was used externally as a discutient and epispastic, to agglutinate wounds, and in a heating poultice, I. 214, 388, 432 II. ;

;

;

4,10. Lipara plasters with grease, II. 42 note. Litharge ; see Plumbum. Lolium L. temulentum, Italian ryegrass. The seeds of this when ergotized yielded farina lolii, darnel meal, which when eaten produced headache and symptoms of intoxica;

;

Lolium was used internally in an antidote, and topically as a calefacient, anodyne and epispastic, and as an application to ulcerations, poisonous stings and papules, I. 214, 452; tion.

II. 56,

II. 10, 50,

Lupinum

120, 172.

Lupinus alba, lupin. A decoction of the seeds was given as a remedy for worms in the intestine, I. 436, 438, and ;

externally in a heating poultice,

I.

214.

Lycium; Rhamnus infectorius, boxthorn or lycium. This was exported from Lycia and largely used in dyeing medically, owing to the tannin it contains, it was an astringent and Celsus ;

zl

LIST OF

MEDICAMENTA

it as an application to relieve haemorrhage and ulceration of the throat, I. 388, also generally to arrest bleeding and induce wounds to It relieved ulcerations of the heal, 11. 2, 98. genitals, fingers and nostrils, also those due to scabies, II. 168, 270, 288; III. 366, as well as ear ulceration following an injury, III. 522 it was a frequent ingredient in eye salves, II. 196212, and checked discharge from the ears and

prescribed

;

nose,

Magma

;

230, 232, 244.

II.

dregs, see Crocus (crocomagma).

Malabathrum Folia Malabathri Indica, leaves of Malabar or Indian cinnamon. The oil of this was used in two of the antidotes ;

(II. 54, 56).

Malagma

;

poultice

;

list of, II.

14-30

;

distinguished

from emplastra and pastilli, II. 14. Generally heating, I. 214, but cooling poultices applied to podagra,

I.

458;

II. 16.

They were usually applied to disperse diseased matter, or draw it out (digerere, extrahere) the latter were known as epispastica, II. 16, but were used also to relieve pain, II. 18. They were often called after their inventor (Lysias, Andreas, etc., II. 18 fF.),

Malva

Malva rotundifolia, mallow. Mallows were included in a frugal diet, and were a bland and aperient food, I. 208, 260, 390 the mucilage formed a soothing enema, I. 172, and was used externally as an emollient, I. 456. Mandragora Mandragora officinarum, mandrake. Both the root and the fruit yield the allied ;

;

;

alkaloids scopolamine, hyoscine

and atropine. xii

LIST OF

MEDICAMENTA

The plant was used

internally as a soporific and anodyne, I. 296 ; II. 60 externally it was used in an eye salve, 190, and for the relief of tooth;

ache, 246.

Probably Celsus refers to the plant mandrake, but he may have meant Atropa belladonna, the deadly nightshade which was perhaps known as mandragora, though the identification is not certain. Cf. Theophrastus, Plants, 6. 2. 9. Marrubium ; M. vulgare, horehound. The ethereal and bitter oil from this, cooked in honey, was, till recent times, in use as a remedy for coughs, as it was employed by Celsus, externally he used it as I. 332, 350, 388, 390 an exedent and cleanser, II. 8, 10, and for foul ulcerations, II. 50, 124, 134, maggots in the ear, ;

236, 244, 268 II.

Mastich

;

and nasal and genital ulcerations,

II.

III. 448.

;

see Lentiscus.

Memigmenon

;

name

of a salve,

Mentastrum see Mentha. Mentha Mint and catmint,

II.

210.

;

;

(1)

Mentha Mentha

I.

492

;

see also

Nepeta.

piperita, peppermint.

as a food, I. viridis, green mint a diuretic, 210, 414 in a draught for cough, I. 390, 404 as a stimulant snuff, I. 422 in a decoction for worms, I. 438. as a stimu(3) Mentha pulegium, pennyroyal lant, I, 210, 212, 422; externally as a pore opener, II. 6. (4) Mentastrum, used against snake bite, II. 120, 250. The calamint of Dioscorides, which is similarly used, is probably the same plant ; others think mentastrum wild mint. (2)

200, 204

;

;

;

;

;

;

=

xlii

LIST OF Minium

MEDICAMENTA

HgS, red sulphide of mercury, cinnabar. This was largely obtained from Sinope, it was mixed with red oxides of copper, iron and lead. It was used as an antiseptic, I. 434 II. 6, 8, 40, also applied to nasal polypus and foul 210, 216 ;

;

;

genital ulcerations, II. 272.

Misy

see Stibium.

;

Morum

mulberry see Sycaminus. Muralis herba see Parthenium. Muscus moss. Used as a repressive and refrigerant, ;

;

;

;

Myrrh Balsamodendron myrrha, myrrh name was probably applied generally ;

species of shrubs in Arabia

I.

212.

but the

;

to various

and Africa with a

sweet scented gum. The gum resin, with its volatile oil, exuded from the trees in drops {stacte, II. 56) and had a powerful and lasting odour. It was used internally as a stimulant and diuretic, I. 286, 316, and an antidote, II. 56, and externally for otorrhea, II. 230. Myrtus ; Myrtus communis, myrtle. Included among vervains, I. 493; The berries were added to wine, I. 444, though the taste is in

now esteemed very

disagreeable myrtle oil with myrtle berries) was used as a repressive and refrigerant, I. 210 fF., 260, 304, 496 II. 42, and in soothing plasters for eczema of the scalp, II. 180. ;

(olive oil infused

;

N. serotinus, narcissus. juice of the root was an emollient which reduced the pain of erodents and discutients and

Narcissus

;

The

was therefore mixed with them,

II. 8, 10. xliii

LIST OF

MEDICAMENTA

Nardostachys Jatamansi, spikenard or nard. The name was also applied to the resin of Valeriana Celtica, nardum Gallicum. The resin was used internally as a diuretic, I, 316, 450, and in an antidote, II. 54, 56, and externally in a plaster for the liver, II. 62. Nasturtium ; Lepidium sativum, cress. As a food, I. 200fF. as a diuretic, I. 210; see also I. 208, 212, 338, 386, 416, 438, 492;

Nardum;

;

II. 6.

N. cataria, catnip or catmint, mint. food, I. 200, 204; as a diuretic, I. 210; see also I. 370, 382, against snake bite, II. 120

Nepeta

;

As a

;

416, 458.

Nitrum see Sal. Nuces Nuts for almonds, hazel nuts, walnuts, and nuts of all kinds as food stuff see index s.v. and ;

;

;

appendix, p. 495. Bitter almonds (nuces amarae) were used medicinally as a diuretic, I. 316, for jaundice, externally in an emulsion 340, cough, 388; and aperient for headache and podagra, I. 270, vol. I.

458, for thrush, II. 256. The sweet almonds (nuces Graecae) were also used, I. 418, in a draught given for renal pain ; see also II. 8, 10, 12, 50, 166, 184, 228, 232, 240.

Ocimum Ocimum basilicum, basil. Among foods, I. 200 ff., 330, 492 ;

I.

208, 210, 212.

Oenanthe

Oesypum Olibanum xliv

;

see Vitis alba. see

;

;

Lana.

see Libanotos.

;

as a diuretic,

"

:

LIST OF

MEDICAMENTA

Omphacium. Juice of unripe olives and grapes.

Cleans

ulcers and wounds, II. 6 ; erodent 8, epispastic, 12, for tonsilitis, 252, 262, 272.

Opopanax Origanum;

;

see

Panaces, all-heal.

There were several

varieties

of this

shrub O. Dictamnus see Dictamnus. O. majorana, Amaracus, sweet marjoram, used as a discutient, II. 10. (3) O. vulgare, Tragoriganum, goats' marjoram, used as a diuretic and discutient, I. 316 ; II. 10. (1)

;

(2)

" All-heal Panax Panaces, (•n-avaKcta) an " emollient mucilage, without further activity, ;

from several of

its

(1) (2)

;

distinct plants, so called

because

healing properties. Ferulago galbanifera, galbanum, q.v. Panaces Cheironium Inula helenium,

= =

elecampayne see Helenium. Ferula nodosa. (3) Panaces Asclepieium or Panaces Hera(4) Opopanax hispidus ;

cleium. Celsus refers several times to " all-heal (panaces), as a remedy against snake bite, II. 120, as a pore-opener, II. 6, and to opopanax as a diuretic, I. 316, and in a poultice for suppuration, II. 18, in an eye and ear salve, II. 214, 230. Papaver Papaver rhoeas, the wild poppy. (For the Papaver argemone, prickly poppy, see Arge;

mone.)

The

juice

contained

a

opium and was recognised

small

quantity

of

as a mild narcotic

xlv

;

OF MEDICAMENTA

LIST

and anodyne.

It was probably the source of the pills made from " poppy tears," II. 60; the juice (lacrimae) expressed from slits below the capsules of the poppy was the strongest. The dried capsules were also used, II. 60, for the pills

known

N.H.

as diacodion

(Sio.

kojSciwv).

Cf. Pliny,

76 19. 79. Celsus never alludes to the cultivated poppy (papaver somniferum) from which opium is obtained and this name was first used by Dioscorides, IV. 647. As Celsus does not include poppy juice in his list of poisons, II. 122, he probably only knew a mild variety of the juice. He used it internally to produce sleep and relieve pain, I. 210 II. 54, 60 and externally in decoctions to any painful part, I. 272, 296, 18.

;

;

;

418, 448, 458.

Papyrus (1) Rolled papyrus {papyrus intortus) was used to apply remedies for fistula, II. 156.

Charta combusta, papyrus ash.

(2)

This yielded caustic potash and soda and was used as a caustic and application to ulcers and putrid wounds and also to bald patches on the scalp, 11. 8, 50, 182, 264, 288.

Parthenium or Herba muralis

;

Parietaria officinalis,

pellitory.

This was used externally as a repressive and refrigerant, I. 212, or the juice was applied to the head in fever, or to painful joints or papules, I. 294,458; 11.170. Pastillum

;

Greek rpoxia-Koswere in tabloid form and could be used

pastil,

Pastils

internally or externally xlvi

;

a

list is

given, II. 44-46,

LIST OF

MEDICAMENTA

and they are distinguished from

A

piasters, II. 14.

celebrated pastil of Polyides was called " the

seal," II. 44.

Arctium lappa, burdock. an application for snake bite,

Personina planta

Used

as

;

II. 120.

pessaries for diseases of women, II. 46, 48. Peucedanum ; P. officinale, sulphurwort. The root yields a bitter foetid resin peucedanine, which was used as an application to painful joints, II. 28. Pinus ; Pinus pinea, the stone pine.

Pessoi

;

The pine kernels (nuclei pinet) were eaten, 200, 202, 210, and were given in honey for cough, and to relieve inflammation of the kidney, I.

410, 418,452 ; as was theJlospini in liver disease, externally the resin was given as a 414 suppurative, pore-opener, erodent and epispastic, II. 8, 10, 12, and pitch was also used in the same way and as an emollient, II. 8, 12, 38 ; pitch plasters were also commonly used, I. 326 note, 346, 366. Pitch resin was closely akin to turpentine (see Terebinthus). For other refs. to pine products, see I. 308, 410, 414, 418, 452, 458. Piper; Piper nigrum, pepper. Two varieties are referred to, long and round, I. 210, 492 ; among foods, I, 206, 210 ; as a diuretic, I. 210 ; in fever, I. 286 ; to promote sneezing, 308 ; see also I. 376, 378, 382, 418, 436, 452; used in local appUcations, 1. 214 ; II. 6, 8, 18-30, 56, 58-64,250. Plantago ; P. major, plantain. Plantain and especially the seeds yield a very glutinous mucilage; it was used as a food, I. 1.

I.

;

xlvii

LIST OF

MEDICAMENTA

208 fF., and in a draught for phthisis, haemorrhage, and dysentery, I. 332, 394, 436 it was also applied externally for elephantiasis, I. 344. Psy Ileum; Plantago psyllium, fleawort. An agglutinant for wounds, II. 4. ;

Plumbum (1)

when

;

lead.

Galena

(jioXvftSaLva)

sulphide

known

of

lead;

plumbum comhustum, and after washing as plumbum elotum it was used to arrest haemorrhage, II. 4. (2) Plumbi stercus or recrementum plumbi This was applied ((TKiapia fxoXv^Sov), lead slag. externally as an emollient, for burns and ulcerafused this was

as

;

tions, II. 12, 42, 124, 242. (3) Spuma argenti (\i6dpyvpos;), litharge ; oxide of lead separated after heating lead and silver ores litharge was heated with oil to make lead ;

plaster (emplastrum plumbi), diachylon. It was used to check bleeding, II. 32 and sweating in cardiac disease, I. 304; to clean wounds, II. 6, 8 ; and was applied to putrid flesh, 50 ; to pustules, 166 ; and to nasal ulcerations, 242. (4) Cerussa (j^LfxvOLov), white lead (basic lead acetate) formed by pouring vinegar over lead shavings ; when heated cerussa produced the yellow and red oxides of lead, I. 272, 458. It was used as an application for recent wounds and ulcerations, II. 42, 166, also for headache and joint pain, I. 272, 458. Remedies against poisoning by it are given, II. 122. (5) Plumbum album, perhaps tinstone, see II. 108 note. ;

Pohum

; Teucrium polium, polygermander, the grey evergreen germander, hulwort.

xlviii

I

;

MEDICAMENTA

LIST OF

The popular name cause

its

for this was trixago, beleaves resembled the castor oil plant,

trixis.

A

decoction of the leaves was used for the and cough, I. 406 III.

relief of pain in the side

;

and also for snake bite, II. 120. Polygonum P. aviculare, knotgrass. The juice of this was very rich in tannin and gallic acid, and so was a powerful astringent, much used to arrest haemorrhage hence it was 532,

;

;

known

as herha sanguinalis,

I.

212, 332, 414

;

II. 4,

166, 236. Populus ; P. alba, the white poplar.

An

application was

made from

the bark of the

roots for toothache, II. 246. Portulaca ; Portulaca oleracea, purslane. As a food, I. 200 ff., 212, 492 ; also used as an

aperient,

I.

and chewed

208

;

to

promote urination, I. 416 from the gums, I.

to check bleeding

394.

Potio

;

a draught,

I.

64, 496-499.

Psoricum see Aes (9). Psylleum, fleawort see Plantago. Puleium, pennyroyal see Mentha. Pulvis (ex via) road dust. In an application for inflammation of the stomach, I. 398. Punicum malum Pomum or Malum granatum, pome;

;

;

;

;

granate.

The

fruit

was regarded

as specially digestible,

All parts of the plant contained tannin, and so were used as astringents, I. 212 ; the flowers (which yielded the scarlet dye balaustrium) were used as a mild corrosive, II. 50 ; the fruit I.

204.

xlix

OF MENTAMEDICA

LIST and

juice

its

were used

in several prescriptions,

230, 232, 234, 252, 256 ; as were the capituli, the red fleshy cahxes, 11. 38, 44, 46 ; and the bark, cortex malt punici or malicorium, which was dried, II.

I.

442

232, 248.

11.

;

See also

I.

210, 404, 432,

444, 492.

Purgantia drugs to cleanse wounds, II. 6, 12. Purgatio, purging ; value of, I. 58 purgatives, ;

;

I.

168,

208.

Pyrethrum or Herba

salivaris

;

Anthemis pyrethrum,

chamomile.

The

plant yields a brown acrid resin with a and much tannin ; it served as a pore-

volatile oil

opener, caustic and epispastic, II. 6, 8, 40 and in applications for pain in the side, scrofulous ;

tumour, and toothache, II. 20, 22, 50. Pyrron name of a salve, II. 210 note c. ;

Pyxinum

;

name

of a salve,

II.

214.

Quinquefolium

; Potentilla reptans, cinquefoil. juice contains a great deal of tannic acid and was used internally for dysentery, I. 432, and externally, with hyoscyamus, for toothache, II.

The

246,

and in heating

poultices,

I.

214.

Raphanus sativus, radish. Mentioned as a bland food stuff, I. 192, 202, 286 and a diuretic, I. 210, but of bad juice, I. 200. It was commonly used for morning emesis, I. 60, and was probably coarser than the modern variety. Radix dulcis Glycorrhiza glabra, liquorice. Radix, Radicula

;

;

This root yields a pecuhar sugar, valuable as an adjunct to honey before the introduction of 1

LIST OF cane sugar,

I.

MEDICAMENTA

492;

medicinally

it

was used

internally in an antidote and to expel stone from the bladder, II. 46, 54, and externally in a gargle for the throat, II. 252.

probably Rheum Ponticum, rhubarb. an antidote, II. 56. cooling foods, drugs or application, Refrigerantia II. 10. refrigerants, I. 206, 212, 214 represReprimentia (Medicamenta quae reprimunt) II. 4. sives (to check inflammation), I. 154, 212 Resina see Pinus and Terebinthus. Rhus Syriacum; R. coriacius Syriacus, the currier's or

Radix Pontica

Used

;

in ;

;

;

;

;

tanner's tree. The astringent sumach obtained from this was applied to ulceration of the mouth following thrush, II. 256. Ricinus ; castor oil plant ; see Cicinum. Rodentia (medicamenta quae rodunt) substances that ;

bite or blister the flesh, II. 6 note b. Rosa ; Rosa Gallica, rose. Rose oil (oleum ex rosa) was made from the fresh petals, and the dried petals were used

and emollients, I. 212, 260, 270, 272, 292, 304, 306, 316, 366, 398, 400. 432, 448 ; II. 10, 12. Ruta; R. graveolens, garden rue or Peganium harmala, wild rue. This plant with its foetid odour and acrid taste was used for food, I. 200 ff. and also medicinally as a local irritant especially as discutients

1,210,310,446,452;

II. 6.

Sagapenum

; Ferula Persica, sagapenum. This yields a gum resin akin to asafoetida;

used in an antidote,

11. 56. li

LIST OF Sal

;

MEDICAMENTA

sodium chloride, salt. It was constantly included in prescriptions, without any qualification, I. 168, 172, 188, 212, 260, 318, 366, 368.

Rock

salt (sal fossile) is specified as

an ingre-

salted water is dient in an eye salve, II. 214 constantly used, I. 212, 172, 270, and strong brine, salsuga muria dura, I. 416. Salt (sodium chloride) has no aperient action, II. 6, but was used in an enema, I. 172; the aperient compounds, sulphates of sodium and magnesium were not distinguished. Several compounds of sodium chloride were ;

used by Celsus. Hydrated carbonate of (1) Nitrum, soda. sodium mixed with chlorides and calcium carbonate. This was especially obtained from pools north west of Cairo and received its name from the Arabic natrum, I. 172, 214, 260, 338, 346; 11.238. soda-scum, aphronitrum. nitri, (2) Spuma Carbonates and nitrates of soda and potash coloured by copper and iron oxides. This was used as an erodent and on a poultice for abscesses and inflamed joints, II. 8, 20; see also II. 30. sodium (3) Sal ammoniacum (ammoniac salt) chloride rendered hygroscopic by the inclusion this subof calcium and magnesium chloride stance, which was also mixed with gypsum (calcium sulphate) was so called because it was found in the sand near the temple of Jupiter ;

;

Ammon

in Libya.

was used in preparations to draw out inflammation and mature abscesses, II. 16, 20, It

lii

;

LIST OF

MEDICAMENTA

for a black eye, II. 226, and in a 22, 24, 38 draught to expel a dead foetus, II. 64. Salamandra Lacertus Salamandra, the salamander. The ash (cinis) produced by burning this was rich in lime and used as an erodent, exedent and ;

;

caustic, II. 6, 8. Salivaris

herba

;

see

Pyrethrum.

Salix alba, white willow. The leaves boiled in vinegar yielded salicin and astringent tannin ; applied to ulcerations of

Salix

;

the anus,

II.

286.

Sampsychus Cyprius see Origanum. Sandaraca see Auripigmentum. (Celsus does not mention the bee bread and gum resin, also known as sandaraca, Aristotle, H.A. IX. 40; Pliny, N.H. XXXIV. 18. 55, 56.) Sanguinalis herba see Polygonum. Sanguinem supprimentia styptics, haemostatics, ;

;

;

;

II. 6.

Satureia thymbra, savoury. as a food stuff and diuretic, I. 200, 210 see also I. 416, 493. Saxum Calcis see Calx. Convolvulus scammonia, scammony Scammonea (Herba Cantabrica). This was a drastic purge, I. 310 note, 340; used as a vermifuge, I. 436, and for snake-bite, II. 120 topically it was used as an exedent, II. 8. Schiston see Alumen. Schoinon see luncus. Scilla urginea maritima, squill. Scilla The bulbs yield scillin, which resembles digitalin, but is much less certain in its action as a cardiac stimulant and often produces vomiting Satureia

;

Used with other herbs ;

;

;

;

;

;

;

Uii

MEDICAMENTA

LIST OF

its bitter taste disguised by vinegar or honey was sucked or taken internally for dropsy

the bulb,

as a diuretic,

I.

318, 320, 390, 416

;

externally

it

was applied as a counter irritant in paralysis, I. 346, as an emollient or exedent or mouth wash, Serpyllum

II. 46, ;

156, 244, 264.

Thymum

serpyllum, creeping thyme.

The serpollet from this resembled oil of thyme, and acted

as

an antiseptic

and

discutient,

212, 272, 282, 292, 416 ; II. 10. Sertula Campana ; several plants were included under Melilotus officinalis, a this name, especially species of lotus (meUlot). The plants had a sweet smell like new hay and were applied to foul ulcerations, II. 10, 12, 50, 184, 282. I.

Sesamum Sesamum Indicum, sesame. The oil from this, which was an inferior substitute for olive oil is included among emolHents, ;

I.

196

;

II. 10.

Sinapis alba, nigra ; Brassica alba, nigra mustard. As a food, I. 493 ; indigestible, 200 ; acrid, 202 ; heating, 286, 416 ; in local applications and plasters, erodent and extractive, I. 212, 318, 346, 368, 370, 434, 446 ; inhaled as a stimulant, 310. Siser ; Slum sisarum, skirret.

One

of the medicinal herbs mentioned as a also as a food, I. 200 ff., I. 212;

repressive,

493.

Solanum or Strychnos bitter-sweet or night shade. There were several species, one specially mentioned by Celsus was the winter cherry or ;

Halicaccabus (PhysaUs Alkengi).

Uv

LIST OF

MEDICAMENTA

All the varieties yielded scopolamine, which is and hyoscine, and so acted as local anodynes while the tannin which they contained made them astringents as well ; they were used t» soothe the insane (in a local application to the scalp) and the hysterical, I. 212, 294, 448 the bark of halicaccabus was used as an application to foul ulcers, solanum leaves allied to atropine

;

for erysipelas,

and solanum

juice for

prominent

navels, II, 46, 102, 266. Solaris herba ; see Heliotropion. Sordes ; used as a local suppurative, II. 10 note a, 12, 60 note a ; see also II. 38, 52, 86.

Spartes see Cytisus. Sphaerion name of a salve, ;

;

Spodium

II. 212.

Cadmia. Spongia; sponge, mentioned as a repressive. I. 212; II. 154, 156. in fomenting, I. 382 Staphis agria I. 316, see Tamus (Uva Taminia) for another identification, see p. xi, note c. Antimonium sulphide, antimony sulphide Stibium or misy, Arabic kohl. This was much adulterated with oxide of lead and charcoal and was used as a slight irritant and caustic in plasters and pastils for ulcers, II. 19-56 and 268-286, and especially in eye salves, II. 194 ff., of which it has been an ingredient from very early times. Stoechas see Lavandula. see

;

;

;

;

;

;

Stomoma

see

;

Aes.

Storax see Styrax. Strychnos see Solanum. Sudorem evocare ; methods of eliciting a sweat, ;

;

diaphoretics,

I.

184, 314, 316. hr

; ;

LIST OF Styrax

MEDICAMENTA

Storax

officinalis, storax. resin of this shrub (Liquidambar orientalis) includes styrax and benzoin resins, and ;

The

the perfume of the balsam resembles jasmin. It was used internally as a diuretic and in antidotes, I. 316 II. 54, 56, and externally for maturing abscessions and promoting suppuration and for cleansing wounds, and as a discutient, emollient and epispastic, II. 6, 10, 12, 18; also for contusions and painful joints, II. 26, 28. ;

Sulphur; sulphur. This was chiefly used in external applications apyron, unheated sulphur, was used in its natural state, II. 22 ; s. praeparatum, sublimed sulphur, was used to impregnate wool {lana sulphurata, q.v.).

It was used as a suppurative, pore opener and cleanser, II. 6, an exedent, II. 8, and a discutient, II. 10 ; and in a fomentation to relieve pain in the limbs, I. 348 ; internally it is once prescribed to relieve cough, I. 390.

Sycaminus

this

;

name was

applied to two distinct

species. (1) Morus nigra, mulberry tree, The mulberry (morum) is used

204 256

if.

as a soporific,

;

as a purgative,

I.

210

;

296. as a food, for thrush, I.

I. I.

See also p. 495. There was a medicine of mulberries, I. 382; II. 256 a decoction of the leaves was used, I. 436. ;

I.

208.

;

this (2) Sycamorus Aegyptiaca, Egyptian fig was called Sycamorus or Sycaminus, the former name being derived from the likeness of its leaves to those of the white mulberry, see 1. 296 ;

Ivi

OF MEDICAMENTA

LIST

Lacrima sycamini (the gum) was used in II. 20. an application for headache, I. 296, and for pain in the side, II. 20; the figs grow on the stem (not like ficus carica on the twigs). See S*. Luke, xvii. 6.

Tamarix

T. tetrandra, tamarisk. This tree exudes a manna containing various sugars and much tannin. It was used as a ;

repressive

Tamus

and refrigerant,

I.

212.

Tamus communis, black bryony, lady's seal. The berries (uvae taminiae) hang in bunches, like grapes hence their name. They were much used by Celsus as diuretics, I. 316, and ;

;

in local applications, II. 6-12, 30, 48, 50, 208.

250, 280.

Terebinthus

The

;

Pistacia terebinthus, turpentine tree.

was constantly used, with pitch resin, as an erodent, II. 6, and internally to relieve dyspnoea, I. 386. Thapsia ; Thapsia garganica, scorching fennel. The very powerful juice of this was used as a counter irritant, especially for contusions of the face, II. 26 (Pliny, N.H. XIII. 22. (43), also mentions this use), and for baldness, II. 182. Thlaspis ; Capsella bursa pastoris, shepherds' purse. resin (terebinihina resina)

The seeds had a an antidote,

flavour like

mustard

;

used

in

II. 56.

Thymum Thymbra capitata, Cretan

thjrme. yield the antiseptic thymol; they were an indigestible food, I. 200, 204 ; a decoction served as a diuretic, I. 210, 416 ; also in a gargle for paralysis of the tongue, 370 ; and for angina, 382. ;

The

flowers

Ivii

;

LIST OF

MEDICAMENTA

Tithymalus, II. 8 ; see Lactuca marina. Tragacantha Astragalus Creticus, tragacanth. The pith is a mass of mucilage from which gum exudes, it was used especially as an excipient, ;

I.

388, also as an agglutinant, to relieve irritation salves, II. 4, 10, 196, 204.

and in eye Tragoriganum

;

Trixago

;

see

see

Origanum.

Polium.

see Cicinum. Trixis (castor oil plant) Trifolium ; Trifolium fra^iferum, trefoil. This herb, which yields a mucilage with a fragrance like honey, was used in a poultice for enlarged spleen, I. 416, and also against snake ;

bite, II. 118.

Trygodes a salve invented by Euelpides, II. 196. Tus (Thus) or OUbanum (Greek, Xi^avwrds), frankin;

cense, see Libanotos.

Unguenta ointments, II. 10, 48, 58 note. Urinam moventia diuretics, I. 52, 210, 316, ;

;

340, 418

II. 10.

Urtica urens, nettle. internally as a food-purgative, I. 208, 390, and part of a light diet for fever, I. 260 for intestinal worms, I. 438; externally in paralysis to irritate the skin, I. 346. Uva; Grape. See General Index, grapes; also see for uva taminia, see above Tamus. helow, Vitis

Urtica

;

Used

;

;

Veratrimi nigrum or album; Veratrum album, Hellebore (the two varieties are not now distinguished). Celsus, like Hippocrates, used the rhizomes and rootlets as a drastic purge, and as an emetic ; it Iviii

;

LIST OF MEDICA^IENTA was especially employed for cases of mental excitement and as a treatment for the insane, I. 110, 152, 168, 174, 298, 300, 308, 334, 336, 342, Externally it was used as an 368, 412. 436. erodent and caustic, II. 8, 10, to excite sneezing, II. 52. It was also used as an emetic for cases

of struma, II. 140. Vervains aromatic shrubs, ;

see further, vol. I.

I.

212, 292, 434, 452, 458 p. 493.

Appendix,

Vettonica herba Betonica officinalis, betony. This herb was introduced at Rome by Antonius Musa, physician to Augustus. He found it used medicinally by the Vettones, a tribe of North west Spain. The dried leaves were used as snufF, the juice of the root as a purge. Celsus mentions it only once as a cure for snake bite, II. 120. Viola Viola odorata, violet. The flowers and seeds yield an expectorant and emetic, violin, which resembles ipecacuanha. It was used by Celsus externally as a pore opener ;

;

and discutient, II. 6, 10. Viscum Viscum album, the berry of Loranthus Europaeum, mistletoe. The unripe berries resemble gutta percha, and were used in the poultices of Apollophanes and ;

Andreas, Vitis

;

II. 18, 20. Vitis alba silvestris, wild vine.

The

of the flowers (oenanthe) was a 316, and used locally as a caustic,

juice

diuretic,

I.

II. 8.

The

cultivated

vine

(V.

vinifera),

besides

producing grapes, had tendrils, caprioli, which yielded tannin and were included under repressives

and

refrigerants,

I.

212.

Uz

;;

MEDICAMENTA

LIST OF Vomitum inducere I.

;

methods of inducing a vomit,

58, see General Index, Emetics.

Zingiber ; ginger. This is only once mentioned as an ingredient in

an antidote,

Zmaragdinum

II. 56.

(emerald-like)

name

;

of a plaster,

II. 32.

Zmilion (razor-like)

II.

;

name of a

salve, II. 214,

LIST OF SURGICAL INSTRUMENTS AND APPLIANCES USED IN TREATMENT

Absus, a woollen bandage, I. 406 Acia, a suture of twisted wool,

;

442 note. suture (Genera

III.

see

index).

Acus, needle (surgical). III. 344, 364, 378, 386: for cataract, 350; cautery needle, III. 336,338, 344, 360.

Ancter, see Fibula. Calamus, a reed or quill pen, used to blow powders into a fistula or gangrene, II. 156, III. 448; in the treatment of ear or nose tronble, to keep the passage open. III. 360, 366 in extracting missiles from a wound, III. 318. Canalis, gutter splint. III. 528, note c, 550, 584 fitted with straps {lora), III. 546, 568. Clyster (1) Clyster oricularis, ear syringe, II. 268 ;

;

III. 444, 450, 468. (2) For clystering index, Clyster.

Ix

the

bowels, see

General

;;

LIST OF Collyrium, (1)

II.

A

MEDICAMENTA

154 note

salve, especially

an eye salve,

II.

192-

196, 200, 216.

A

medicated bougie, tent, (2) fistula, II. 154 note, III. 306.

used to probe a

Corvus, a surgical knife. III. 404. Cyathiscus (of Diodes), a surgical instrument used for extracting missiles. III. 318. Fascea, bandage, I. 164 ; II. 88, 192, III. 320, 408 for fractures and dislocations. III. 524 fF. Ferrum, Ferramentum, a surgeon's knife, I. 2; a lithotomy knife. III. 426; that invented by Meges, 436 a knife used to cut away a polypus, 364, and in a case of dropsy, 382 ; an instrument to extract missiles, III. 316 ; Ferrum candens, cautery, I. 330, 356; II. 134; III. 300, 374; Ferrum was also used of a smith's tools, I. 416 ;

II.

130.

made from the stem of the Narthex communis, was used in fractures of the clavicle, humerus, etc.. III. 528 and note, 540 fF.

Ferula, a cane splint,

Greek ayKTrjp, originally a brooch, safety pin, was used by Celsus of pins passed through the margin of wounds and fixed by a thread twisted round them in a figure of 8, similar to the " harelip pin " still in use, though now largely superseded by clips, II. 82 III. 308, 324, 416 in-

Fibula,

;

;

Jibulare adulescentulos, III. 422, 424. Fistula, a straw, or pipe of reed, used

to drink through, I. 74 a pipe of brass or lead, used as a catheter, III. 424 for drainage, 382, 454. For an anatomical or pathological fistula, see General index, Fistula, Urethra. Forfex, a forceps, III. 318, 320 a dental forceps, ;

;

;

Ixi

LIST OF 11.

368, 370

MEDICAMENTA

shears used in an abdominal opera-

;

an instrument specially made for use in cases of fractured skull, III. 514. Habenae, straps, used in treating dislocations and fractures, III. 320, 538, 542, 546, 570, 578, 580. Hamus, hook. III. 316, 372, 386; used in scalping operations, III. 356, and in an operation on the tion, II.

386

;

tongue, 374 {hamulus). Laramina, see Meningophylax. Lemniscus, a woollen bandage, III. 455 note. Lenticula, a gouge, II. 266 note.

Lorum, a strap, to secure a splint. III. 546, 568. Meningophylax (Lammina), a plate for protecting the brain during operations on the head, III. 500,514. Mitella, a sling, III. 546. Modiolus, III. 496, note, a crown trephine. Novacula, a razor used to shave the scalp, II. 182. Paxillus, a wedge, used in treating fractures, III. 554. Rhizagra, a dental forceps. III. 370 and note. Scala Gallinaria, a poultry ladder to the roost for hens, used in reducing dislocations, III. 570. Scalpellus, a surgical knife, I. 162-166, 182 ; II. 276, 290 III. 298, 302, 316, 372, 420, 432, 436. Scalper, a cutting chisel, III. 496, 498, 500, 506, 512. ;

Serrula, an amputation saw, III. 470. Spata or Spatula lignea ; a wooden board fitted with straps {lord) used in reducing a dislocated humerus. III. 568. Specillum, a probe, II. 134 ; III. 310, 360, 368, 498, 506, 518 ; an ear scoop, II. 236 ; a rasp {Sp.

asperatum), II. 216. 228 note.

Strigil, II.

Sutura, suture of wounds, see General Index, Suture. Terebra, a trepan, III. 320, 496 ff., 508, 512. Ixii

;

LIST OF

MEDICAMENTA

Uncus, a hook, used in embryotomy.

III. 456, 458, for lithotomy. III. 426, 434. Volsella, a small forceps or tweezers, II. 274, 372 also a smith's instrument, small tongs or pinchers, III. 552.

Ixiii

WEIGHTS, MEASURES, SYMBOLS {Weights and measures are converted

to the metric

system)

Dry

measures.

LIBRA

PONDUS,

pound, about 336 grammes. two thirds, 224 grammes. Selibra, one half, 168 grammes. Triens librae, one third, 112 grammes. Quadrans librae, one quarter, 84 grammes. Sextans librae, one sixth, 56 grammes. Sesquiuncia (sescuncia) librae, one eighth, 42 grammes. Uncia librae, one twelfth, 28 grammes.

Bes

or

librae,

DENARIUS, DRACHMA,

one seventh" of an

uncia librae, about 4 grammes.

Bes denarii, two thirds, 2*66 grammes. Semi denarius, one half, 2 grammes. Quicunx denarii, five twelfths, 1*66 gramme. Triens denarii, one third, 1*33 gramme. Quadrans denarii, one quarter, 1 gramme. Sextans denarii, one sixth, 0*66 gramme. Uncia denarii, one twelfth, 0*33 gramme.

SCRIPULUM, librae, 1*16

one twenty-fourth of an uncia

gramme.

OBOLUS,

one sixth of a denarius, 0"66 gramme. Hemiobolium, half an obolus, 0*33 gramme. " This measure was not universal explains the system that he follows.

;

in V. 17. 1

C

Celsus

Ixv VOL.

II.

C

WEIGHTS, MEASURES, SYMBOLS Liquid measures.

AMPHORA,

about 30

litres.

SEXTARIUS,

about ^ litre, 500 e.cm. Hemina sextarii, about ^ litre, 250 e.cm. Quadrans sextarii, about | litre, 125 e.cm.

ACETABULUM, CYATHUS,

^ sextarius, 63 e.cm.

J^ sextarius, 42 e.cm.

Fractions. 1

5

T2"*

St/mbols.

P followed by a numeral, one pondus (libra) or more. P with no numeral following, pondo, by weight. PS, selibra, |. P uncia librae, of a pondus (libra). P bes, bes librae, |. P or P ZZ, triens librae, J. P quadrans librae, J. P or P Z, sextans librae, ^.

—

== =— =

Ixvi

^

,

,

WEIGHTS, MEASURES, SYMBOLS •5f

(also

followed by a numeral, one denarius or more represented by H or X followed by a numeral).

P ^ — or P -Jf ~ uncia denarii, ^-^ of a denarius. P -Jf S, semi-denarius, |. P ^ = = or P -Jf ZZ, triens denarii, \. P[-K- = — or P. "Jf ^, quadrans denarii, \. P ^ — or P ^ Z, sextans denarii, \ (one obolus), ,

P^ = = — quicunx denarii, P ^ ~ ZI> t>^^ denarii, |. ,

Pg, dextans

denarii,

\^

^.

(this sign

only occurs V.

18. 17).

^,

followed by a numeral, one scripulum or more.

by a numeral, one sextarius or more. no numeral following, semi, one half.

S, followed S, with

Ixvii

CELSUS DE MEDICINA

A.

CORNELII CELSI

DE MEDICINA LIBER V iis malis corporis, quibus victus ratio nunc transeundum est ad earn subvenit

Dixi de

maxime

:

medicinae partem, quae magis medicamentis pugnat. His multum antiqui auctores tribuerunt. et Erasistratus et ii, qui se empiricos nominarunt, praecipue tamen Herophilus deductique ab illo viro, adeo ut nullum morbi genus sine his curarent. Multaque etiam de facultatibus medicamentorum memoriae prodiderunt, qualia sunt vel Zenonis vel Andriae vel Apolloni, qui Mys cognominatus est. 2 Horum autem usum ex magna parte Asclepiades non sine causa sustulit ; et cum omnia fere medicamenta stomachum laedant malique suci sint, ad ipsius victus rationem potius omnem curam suam Verum ut illud in plerisque morbis transtulit. utilius est, sic multa admodum corporibus nostris incidere consuerunt, quae sine medicamentis ad sanitatem pervenire non possunt. Illud ante omnia scire convenit, quod omnes medicinae partes ita innexae sunt, ut ex toto separari non possint sed ab " The word victus like the Statro (regimen) of Hippocrates includes not only dieting, but rubbing, rocking, rules for

exercise, etc.

2

CELSUS

ON MEDICINE BOOK V I HAVE spoken of those maladies of the body in which the regulation of the diet" is most helpful: now I pass on to that part of medicine which combats them rather by medicaments. These were held of high value by ancient writers, both by Erasistratus and those who styled themselves Empirics, especially however by Herophilus and his school, insomuch that they treated no kind of disease without tliem. A great deal has also been recorded concerning the powers of medicaments, as in the works of Zeno or of Andreas or of Apollonius, surnamed Mys. On the other hand, Asclepiades dispensed with the use of these for the most part, not without reason; and since nearly all medicaments harm the stomach and contain bad juices, he transferred all his treatment rather to the management of the But while in most diseases that is the actual diet. more useful method, yet very many illnesses attack our bodies which cannot be cured without medica-

ments. This before all things it is well to recognize, that all branches of medicine are so connected together, that it is impossible to separate off any

CELSUS 3

eo

nomen

et

ilia,

trahant, a quo plurimum petunt. Ergo quae victu curat, aliquando medicamentum adhibet, et ilia, quae praecipue xnedicamentis pugnat, adhibere etiam rationem victus debet, quae multum admodum in omnibus corporis malis proficit.

Sed cum omnia medicamenta proprias facultates habeant, ac simplicia saepe opitulentur, saepe mixta,

non alienum videtur ante proponere et nomina et vires et mixturas eorum (capp. i-xxv), qui minor ipsas nobis curationes exsequentibus mora sit. 1. Sanguinem supprimunt atramentum sutorium, quod Graeci chalcanthon appellant, chalcitis, acacia, et ex aqua Lycium, tus, aloe, ciunmi, plumbum creta vel combustum, porrum, herba sanguinalis ;

Cimolia vel

figularis,

misy;

frigida

aqua, vinum,

acetum; alumen Melinum, squama et ferri et aeris [atque huius quoque duae species sunt, alia tantum aeris, alia rubri aeris]. 2.

Glutinant

vulnus murra, tus, cummi, praeci

pueque acanthinum

momon,

bulbi, lini

gluten, icthyocolla; suis

psylleum, tragacantha, carda-

;

semen, nasturcium vitis alba,

ovi

;

album,

cum

contusae

testis

mel coctum; spongia vel ex aqua ex vino vel ex aceto expressa ex iisdem

cocleae,

frigida vel

lana sucida

;

;

Reprimunt vocatur,

et

si

levis

plaga

alumen

etiam aranea.

scissile, quod (txio-tov Melinum, auripigmentum, atramentum sutorium.

liquidum

aerugo, chalcitis,

est,

et

;

BOOK

V.

I.

2-2.

I

one part completely, but each gets its name from the treatment which it uses most. Therefore, both that which treats by dieting has recourse at times to medicaments, and that which combats disease mainly by medicaments ought also to regulate diet, which produces a good deal of effect in all maladies of the body. But since all medicaments have special powers, and afford relief, often when simple, often when mixed, it does not seera amiss beforehand to state both their names and their virtues and how to compound them, that there may be less delay when we are describing the treatment itself." Blacking 1. The following suppress bleeding: which the Greeks call chalcanthon, copper ore, acacia, and lycium with water, frankincense, lign-aloe, gums, lead sulphide, leek, polygonum Cimolian chalk cold water, or potter's clay, antimony sulphide wine, vinegar; alum from Melos, iron and copper scales [and of this last there are two kinds, one from ordinary copper, the other from red copper]. myrrh, 2. The following agglutinate a wound: frankincense, gums, especially gum arabic ; fleawort, tragacanth, cardamon, bulbs, linseed, nasturtium white of egg, glue, isinglass ; white vine, snails pounded with their shells, cooked honey, a sponge squeezed out of cold water or out of wine or out of vinegar ; unscoured wool squeezed out of the same if the wound is slight, even cobwebs. The following subdue inflammation alum, both quince split alum called schiston, and alum brine orpiment, verdigris, copper ore, blacking. oil, ;

;

;

;

:

;

"

For a list of the drugs given and the probable

identification

of those which are doubtful see Introduction to vol. II.

;;

CELSUS Concoqunt et movent pus nardum, murra, balsamum, galbanum, propolis, sturax, turis et fuligo et cortex, bitumen, pix, sulpur, resina, sebum, 3.

costus,

adeps, oleum. 4.

Aperiunt

stomun Graece

tamquam dicitur,

ora in corporibus, quod cinnamomum, balsamum,

iuncus quadratus, puleium et flos albae galbanum, resina terebenthina et pinea, propolis, oleum vetus; piper, pyrethrum, chamaepitys, uva taminia sulpur, alumen, rutae

panaces

;

violae,

bdella,

;

semen. 5. Purgant aerugo, auripigmentum, quod arsenicon a Graecis nominatur [huie autem et sandaracae in

omnia eadem vis, sed validior iris, balsamum, sturax,

pumex

;

est

squama

aeris],

turis

cortex,

tus,

resina et pinea et terebenthina liquida, oenanthe lacerti stercus, sanguis columbae et palumbi et 2 hirundinis ; Hammoniacum, bdellium [quod in omnia idem quod Hammoniacum potest, sed valentius est habrotonum], ficus arida, coccum Cnidium, scobis

coagulum, sed maxime eboris, omphacium, radicula leporinum [cui eadem quae ceteris coagulis facultas, sed ubique validior est], fel, vitellus crudus, comu cervinum, gluten taurinum, mel crudum; misy, chalcitis crocum, uva taminia habrotonum, spuma argenti, galla, squama aeris, lapis haematites, minium, costum, sulpur, pix cruda; sebum, adeps, oleum; ruta, porrum, lenticula, ervum. 6. Rodunt alumen liquidum, sed magis rotundum. ;

;

;

" These drugs were intended to open the pores (stomata of Erasistratus) at the ends of veins, and so to relieve congestion for stomata, see vol. I. pp. 10, 392.

;

BOOK

V.

3.

1-6.

I

The

following mature abscessions and promote nard, myrrh, costmary, balsam, galbanum, propolis, storax, frankincense, both the soot and the bark, bitumen, pitch, sulphur, resin, suet, 3.

suppuration

:

fat, oil.

4. The following open, as it were, mouths in our bodies, called in Greek ctto/xow " cinnamon, balsam, all-heal rush-root, pennyroyal, white violet flowers, bdellium, galbanum, turpentine and pineresin, propolis, old olive-oil; pepper, pyrethrum, ground pine thistle, black bryony berries, sulphur, alum, rue seed. 5. The following have a cleansing effect verdigris, orpiment, called by the Greeks arsenicon [now this has the same property as sandarach, but copper scales are stronger], pumice orris root, balsam, storax, frankincense, frankincense bark, pine-resin and liquid turpentine, vine-flowers lizard dung, blood of pigeon and wood pigeon and swallow ammoniacum, bdellium [which has the same virtue as ammoniacum, but southernwood is more powerful], dry omphacium, fig, Cnidian berry, powdered ivory, radish ; rennet, especially of the hare [which has the same faculty as other rennet but is far more active], ox-bile, uncooked yolk of egg, burnt stagshorn, ox-glue, raw honey, antimony sulphide, copper ore saffron, black bryony berries, southernwood, litharge, oak-gall, haematite, minium, costmary, sulphur, crude :

;

:

;

;

:

pitch, suet, fat, 6.

ally

oil,

rue, leek, lentil, bitter vetch.

The following are erodents ^ alum brine, especiwhen made from round alum, verdigris, copper :

—

—

—

* Bodere exedere adurere The substances given in sections 6-8 are divided into these three classes according to the severity of their action upon the tissues.

7

CELSUS aerugo, chalcitis, misy, squama aeris, sed magis rubri, aes combustum, sandaraca, minium Sinopicum; galla, balsamum, murra, tus, turis cortex, galbanum, resina terebenthina umida, piper utrumque, sed rotundum magis, cardamomum; auripigmentum, 2 calx, nitrum et spuma eius [apii semen], narcissi radix, [omphacixim], alcyonium, [oleum ex amaris nucibus], alium, mel crudum, vinum, lentiscus. squama ferri, fel taurinum, scamonia, uva taminia, ;

styrax, cicutae semen, omphacium, semen, resina, narcissi semen, fel, nuces amarae oleumque earum, atramentum sutorium, chrysocolla,

cinnamomum, apii

veratrum,

cinis.

Exedunt corpus acaciae sucus, hebenus, aerugo, squama aeris, chrysocolla, cinis, cinis Cyprius, nitrum, cadmia, spuma argenti, hypocistis, diphryges, 7.

auripigmentum, sulpur, cicuta, sandaraca, salamandra, [alcyoneum], aeris flos, chalcitis, atrasal,

mentum

calx, [acetum], galla, lactucae marinae, quae tithymallos a Graecis appellatur, alcyoneum, fel, turis fuligo, spodium, lenticula, mel, oleae folia, marrubium, lapis haematites et Phrygius et Assius et scissilis, misy, vinum, acetum.

sutorium,

alumen, lac

8.

ochra,

caprifici

vel

Adurunt auripigmentum, atramentum

sutor-

ium, chalcitis, misy, aerugo, calx, charta combusta. sal, squama aeris, faex combusta, murra, stercus et lacerti et columbae et palumbi et hirundinis, piper, coccum Cnidium, alium, diphryges, lac utrumque, quod proxime [capite supra] comprehensum est, veratrum et album et nigrum, cantharides, corallium,

tus, salamandra, eruca, sandaraca, uva taminia, chrysocolla, ochra, alumen scissile, ovillum

pyrethrum,

stercus, oenanthe.

8

;

BOOK

V.

6.

1-8.

I

antimony sulphide, copper scales, especially from red copper, calcined copper, sandarach, minium from Sinope ; oak-galls, balsam, myrrh, frankincense, frankincense bark, galbanum, liquid turpentine, pepper of both kinds but especially the round, orpiment, lime, soda and its scum cardamon

ore,

;

[parsley seed], narcissus root, [omphacium], coral, [oil of bitter almonds], garlic, uncooked honey, wine, mastich, iron scales, ox-bile, scammony, black bryony berries, cinnamon, storax, hemlock seed, omphacium, parsley seed, resin, narcissus seed, bile, bitter almonds and their oil, blacking, chrysocolla, hellebore, ash. 7. The following are exedents : acacia juice, ebony, verdigris, copper scales, chrysocolla, ash, cyprus ash, soda, cadmia, litharge, hypocistis, slag, salt, orpiment, sulphur, hemlock, sandarach, salamander-ash, [coral], flowers of copper, copper ore, blacking, ochre, lime, [vinegar], oak-gall, alum, milk of the wild fig, or of sea spurge which the Greeks call tithymallos, coral, bile, frankincense, spode, lentil, honey, olive horehound, haematite stone, Phrygian, leaves, Assian and ironschist, antimony sulphide, wine,

vinegar.

orpiment, blacking, 8. The following are caustics copper ore, antimony sulphide, verdigris, lime, burnt papyrus-ash, salt, copper scales, burnt wine-lees, myrrh, dung of lizard and pigeon and wood pigeon and swallow, pepper, Cnidian berry, garlic, slag, both the milks mentioned in the previous chapter, hellebore both white and black, cantharides, coral, pyrethrum, frankincense, salamander-ash, rocket, sandarach, black bryony berries, chrysocolla, ochre, split alum, sheep's dung, vine-flower buds. :

CELSUS 9. Eadem fere crustas ulceribus tamquam igne adustis inducunt, sed praecipue chalcitis, utique si cocta est, flos aeris, aerugo, auripigmentum, niisy, et

quoque magis coctum.

id

10. Crustas vero has resolvit farina triticea cum ruta vel porro, aut lenticula, cui mellis aliquid

adiectum

est.

Ad

discutienda vero ea, quae in corporis parte maxime possunt habrotonum, helenium, amaracus, alba viola, mel, lirium, sampsychus Cyprius, lac, sertula Carapana, serpullum, 11. aliqua

coierunt,

iris, viola purpurea, narcissus, rosa, crocum, passum, iuncus quadratus, nardum, cinnamomum, casia, Hammoniacum, cera, resina, uva

cupressus, cedrus,

taminia, spuma argenti, styrax, ficus arida, tragoriganus, lini et narcissi semen, bitumen, sordes ex gymnasio, pyrites lapis aut molaris, crudus vitellus, amarae nuces, sulpur. 12. Evocat et educit ladanum, alumen rotundura, hebenus, lini semen, omphacium, fel, chalcitis, bdellium, resina terebenthina et pinea, propolis, ficus arida decocta, stercus columbae, pumex, farina lolii, aqua cocti, elaterium, lauri bacae, nitrum,

gross! in sal.

est, spodium, tragacanthum. 14. Carnem alit et ulcus implet resina pinea, ochra Attice vel Scyrice, cera, buturum. aes combustum, terra Eretria, 15. Molliunt

13.

Levat

id,

quod exasperatum

hebenus, cummi, ovi album,

lac,

nitrum, papaveris lacrima, Hammoniacum, bdellion, cera, sebum, adeps, oleum, ficus arida, sesamum, »

What

*

i.e.

is scraped o£E the skin by the atrigil after exercise. they draw out collections of matter and bring them to

the surface; emaTraffTtKci ^ap/xaica,

10

p. 17.

BOOK

V.

9.

1-15.

I

9. The foregoing generally induce scabs on ulcerations almost as when burnt by a cautery, but most of all copper ore especially after being heated

—

—copper

flowers,

verdigris,

orpiment,

antimony

sulphide, and that also more after being heated. 10. But such scabs are loosened by wheat flour with rue or leek or lentils, to which some honey has

been added. 11. The following, again, are most powerful to disperse whatever has collected in any part of the

body

southernwood, elecampane, marjoram, white honey, lily, Cyprian marjoram, milk, melilot, thyme, oil of cypress, cedar-oil, iris, purple violet, narcissus, rose, saffron, raisin wine, angular rush, nard, cinnamon, casia, ammoniacum, wax, resin, black bryony berries, litharge, storax, dry fig, goat's marjoram, linseed, narcissus seed, bitumen, sordes* from the gymnasium, pyrites or millstone, raw yolk of egg, bitter almonds, sulphur. following are epispastics * ladanum, 12. The round alum, ebony, linseed, omphacium, ox-bile, copper ore, bdellium, turpentine and pineresin, propolis, dried fig cooked, pigeons' dung, pumice, darnel meal, unripe figs cooked in water, elaterium, :

violet,

:

laurel berries, soda, salt.

13.

The

of zinc, canth.

following relieve any irritated part oxide ebony, gum, white of egg, milk, traga:

14. The following make the flesh grow, and fill in ulcerations : pine-resin, ochre from Attica or Scyros, wax, butter. 15. The following are emollients : calcined copper, Eretrian earth, soda, poppy-tears, ammoniacum, bdellium, wax, suet, soft fat, oil, dried fig, sesamum.

CELSUS sertula folia,

Campana, coagulum,

crudus,

vitellus

medullae omnes,

semen, rosae amarae nuces,

narcissi et radix et

pix,

stibi,

coclea cocta, cicutae

recrementum (o-Kwptav fio\v/3Bov Graeci vocant), panaces, cardamomum, galbanum, resina, uva taminia, styrax, iris, balsamum, sordes ex gymnasio, sulpur, buturum, ruta. 16. Cutem purgat mel, sed magis si est cum semen,

plumbi

galla vel ervo vel lenticula vel marrubio vel iride vel

ruta vel nitro vel aerugine. 17. Expositis est,

dicendum

simplicibus facultatibus

quemadmodum misceantur, quaeque

ex his

fiant.

Miscentur autem varie, neque huius uUus modus est, cum ex simplicibus alia demantur, alia adiciantur, iisdemque servatis ponderum ratio mutetur. Itaque cum facultatium materia non ita multiplex sit, quae iniiumerabilia mixturarum genera sunt: conprehendi si possent, tamen esset supervacuum.

B Nam et idem efFectus intra paucas compositiones sunt, et

mutare eas

cuilibet cognitis facultatibus facile est.

Itaque contentus

mas.

iis

ero,

quas accepi velut

nobilissi-

In hoc autem volumine eas explicabo, quae

vel desiderari in prioribus potuerunt, vel

curationes

C

pertinent,

quas

protinus

hie

ad eas compre-

hendam, sic ut tamen quae magis communia sunt, si qua singulis vel etiam parvis simul iungam adcommodata sunt, in ipsorum locum difFeram. Sed et ante sciri volo, in uncia pondus denarium septem :

12

BOOK

V. 15. 1-17.

I.

c

melilot, narcissus root and seed, rose-leaves, curd, raw yolk of egg, bitter almonds, marrow of any kind, antimony sulphide, pitch, snails boiled, hemlock

seed, lead-slag which the Greeks call a-Kwpta fioXv/BBov, all-heal,

cardamon, galbanum,

resin,

black bryony

storax, iris, balsam, gymnasium sordes, sulphur, butter, rue. 16. The following cleanses the skin: honey, but berries,

if mixed with galls or bitter vetch or lentil or horehound or iris or rue or soda or verdigris. 17. The powers of medicaments when unmixed having been set out, we have to say how they may be mixed together, and what are the compositions so made. Now they are mixed in various ways and there is no limit to this, since some simples may be omitted, others added, and when the same

better

ingredients are used the proportion of their weights may be changed. Hence though there are not so very many substances having medicinal powers, there are innumerable kinds of mixtures and, even if all of them could be included, yet this would be needless. For the same effects are produced by but a few compositions, and to vary these is easy to anyone who knows their powers. Therefore I shall content myself with those I have heard of as the best known. Now in this book I will set forth those compositions which may have been required in the previous treatments or which pertain to those treatments which I am going shortly to mention here, so that I may bring together at the same time compositions which are more generally used: those that are applicable to a particular disease, or even to a few, I shall mention in their appropriate places. But I wish to make clear in advance that our uncia has the weight ;

13

CELSUS esse, unius deinde denarii pondus dividi a me in sex partes, id est sextantes, ut idem in sextante denarii

nabeam, quod Graeci habent in eo, quem obolon appellant. Id ad nostra pondera relatum paulo plus 2

dimidio scripulo facit, Malagmata vero atque emplastra pastillique, quos trochiscos Graeci vocant, cum plurima eadem habeant, differunt eo, quod malagmata maxime ex odoribus ^ eorumque etiam surculis, emplastra pastillique magis ex quibusdam metallicis flunt deinde malagmata contusa abunde mollescunt nam super integram cutem iniciuntur laboriose vero conteruntur ea, ex quibus emplastra pastillique fiunt, ne laedant vulnera, cum inposita sunt. Inter emplastrum autem et pastillum hoc interest, quod emplastrum utique liquati aliquid accipit, in pastille tantum arida medicamenta aliquo umore iunguntur. ;

:

:

B

Tum

emplastrum hoc modo fit arida medicamenta per se teruntur, deinde mixtis iis instillatur aut acetum aut si quis alius non pinguis umor accessurus est, et ea rursus ex eo teruntur. Ea vero, quae liquari possunt, ad ignem simul liquantur, et si quid C olei misceri debet, tum infunditur. Interdum etiam aridum aliquod ex oleo prius coquitur: ubi facta sunt, quae separatim fieri debuerunt, in unum omnia miscentur. At pastilli haec ratio est arida medica:

:

^

There

is

a variant reading

floribus.

" For the approximate conversion of the weights and measures to the metric system and for a list of symbols and fractions, see Introduction to vol. II. * Malagma [iiaXaaaeiv to soften), a poultice; emplastrum {ejiitXafrrov sc. ^dpfiaKov), a plaster; pastillum {rpoxioKos), a

14

:

BOOK

V.

17.

I.

c-2. c

of seven denarii, next that

I divide one denarius by weight into six parts, namely, sextantes so that I have in the sextans of a denarius the same weight as the Greeks have in what they call an obolus. That being reduced to our weight, makes the obolus a little more than half a scripulus." Now emollients and plasters and pastils * which the Greeks call trochiscoi, whilst they have much in ;

common,

differ

in this, that

emollients are

made

from essences of flowers and even from their shoots, plasters and pastils rather from certain metalHc materials again, the emollients if crushed become quite soft enough for they are applied over intact skin the materials out of which plasters and pastils are made are rubbed together laboriously in order that they may not irritate wounds when they are applied to them. But between a plaster and a pastil there is this difference: a plaster must chiefly

:

;

;

contain some liquefied ingredient, in a pastil only dry materials are used, combined together by a little fluid. Then a plaster is made in this way: dry medicaments are rubbed down separately, then when they have been mixed, either vinegar is dropped in or any other liquid free from fat that is at hand, and these ingredients are rubbed together again. The materials capable of being liquefied are melted all together over the fire, and if there is to be any admixing of oil, it is then poured in. dry ingredient is even sometimes boiled in oil beforehand when what should be done separately has been accomplished, all are mixed together. But the making of pastils, on the other hand, is this dry medicaments

A

:

ball or disc-shaped pill or tabloid or applied externally.

which could be swallowed 15

:

CELSUS menta contrita umore non pingui, ut vino vel aceto, coguntur, et rursus coacta inarescunt, atque ubi utendum est, eiusdem generis umore diluuntur. Turn emplastrum imponitur, pastillus inlinitur, aut alicui molliori, ut cerato, miscetur. 18. His cognitis, primum malagmata subiciam, quae fere non sunt refrigerandi sed calfaciendi causa reperta. Est tamen, quod refrigerare possit, ad calidas podagras aptum. Habet gallae et immaturae et alterius, coriandri seminis, cicutae, lacrimae aridae, cummis, singulorum plenum acetabuliun ; cerati eloti, quod Tr(.ir\vjxivov Graeci vocant, selibram.

Reliqua fere calefaciunt. Sed quaedam digerunt materiam, quaedam extrahunt, quae cVto-Trao-Ti/ca vocantur; pleraque certis magis partibus membro-

rum adcommodata 2

Si

sunt.

materia extrahenda

est, ut in hydropico, in dolore, in incipiente abscessu, in suppuratione quoque medioeri, aptum est id, quod habet resinae aridae, nitri, Hammoniaci, galbani, singu-

lateris

cerae pondo. Aut in quo haec sunt aeruginis rasae, turis, singulorum P. -Jf II Hammoniaci salis P, VI squamae aeris, cerae, singulorum P. VIII resinae aridae P. XII aceti cyathus. Idem praestat cumini farina cum struthio et melle. Si iecur dolet, id in quo est balsami lacrimae 3 P. •}(• XII ; costi, cinnamomi, casiae corticis, murrae, croci, iunci rotundi, balsami seminis, iridis Illyricae, cardamomi, amomi, nardi, singulorum P. XVI.

lorum pondo

;

;

^

^

;

^

;

;

^

<•

*

i6

For podagra

cf . vol. I.

Appendix

TrenXvfiivov ec. K-qpcurov,

(p. 463).

BOOK

V.

17. 2. C-18. 3

which have been rubbed together are mixed by the aid of a liquid free from fat, such as wine or vinegar and the mixture is dried again, and when required for use, dissolved in a liquid of the same kind. Further, a plaster is laid on, a pastil is smeared on, or is mixed with something softer such as a cerate. 18. Premising the above, I will speak first of emollients, almost all of which were invented, not for the purpose of cooling but for heating. There is, however, one kind which can cool, being suitable for hot podagras." It is a cupful of oak-galls, unripe or otherwise, coriander seed, hemlock, dried poppytears, and gum, of each 63 com. of washed cerate called by the Greeks TmrXvfx.ivov,'' 168 grms. Almost all the rest are heating. But some disperse the diseased matter, some extract it and are called epispastic;'' most are designed rather for particular parts of the body. If diseased matter has to be extracted, as in the case of a dropsy, pleurisy, incipient abscession, also in cases of moderate suppuration, the following emollient is suitable which contains dried resin, soda, ammoniacum, galbanum, 336 grms. each, wax 336 grms. Or that one which contains scrapings of verdigris and frankincense, each 8 grms., ammoniac salt 24grms., copper scales, wax, each 32 grms., dried resin 48 grms., 42 c.cm. of vinegar. Cumin meal with soap-wort and honey serves the same purpose. If there is pain in the liver ^ apply the emollient which consists of balsam tears 48 grms., costmary, cinnamon, casia bark, myrrh, saffron, round rush, balsam seeds, Illyrian iris, cardamon, amomum, nard, ;

:

:

*

iinaiTaaTiKd (JxipfiaKa, p. 10 note 6.

**

IV. 15.

1.

17

;

CELSUS Quibus adicitur nardum [unguentum], donee eerati crassitude sit. Et huius quidem recentis usus est: si vero servandum est, resinae terebenthinae P. ?(• XVI, cerae P. -Jf ex vino leni contunduntur, turn eo miscentur. At si lienis torquet, glandis, quam balanon 4 fxyptij/iK-^v Graeci vocant, cortex et nitrum paribus portionibus contunduntur, respergunturque aceto quam acerrimo. Ubi eerati crassitudinem habet,

X

ante in aqua frigida madefacto inlinitur et sic inponitur, supraque farina hordeacea inicitur: sed manere ibi non amplius sex horis debet, ne lienem consumat ; satiusque est id bis aut ter fieri. Commune autem et iocineri et lieni et abscessibus 5 et strumae, parotidibus, articulis, calcibus quoque suppurantibus aut aliter dolentibus, etiam concoctioni ventris Lysias composuit ex his opopanacis, styracis, galbani, resinae, singulorum P. -Jf II ; Hammoniaci, linteo

:

bdelli, cerae, sebi

taurini, iridis aridae P. -Jf IIII cachryos acetabulo, piperis granis XL ; quae contrita irino unguento temperantur. Ad laterum autem dolores compositio est Apollo6 phanis, in qua sunt resinae terebenthinae, turis fuliginis, singulorum P. -X- IIII bdelh, Hammoniaci, iridis, sebi vitulini aut caprini a renibus, visci, singu;

lorum P. -}f IIII. dolorem levant,

Haec

autem

dura

emolliunt,

eadem

omnem

mediocriter

calfaciunt. 7

Ad idem quod etiam

[latus]

IV. 16. i.e.

i8

Andreae quoque malagma est, umorem, pus maturat,

resolvit, educit

1.

by burning the skin over

it.

BOOK

V.

i8.

3-7

each 64 grms. To these is added nard ointment until the consistency is that of a cerate. And this is for use whilst fresh but if it is to be kept, turpentine resin 64 grms., and wax 40 grms., are pounded up together in mild wine, and then mixed with the above. But if there is acute pain of the spleen " the rind of the nut, called by the Greeks ftd\avo<s /xvpeij/iK'^, and soda are pounded together in equal proportions and sprinkled with sharpest vinegar; when of the consistency of a cerate this is spread on lint previously moistened in cold water, and so applied, with barley-meal dusted over it but it should not be kept on longer than six hours, lest it consume the spleen ^ it is better to apply it two or three times. Lysias compounded an emollient equally useful for the liver and spleen and for abscesses and scrofulous tumours, for parotid swellings and joints, for heels suppurating or otherwise painful, even for promoting digestion, from the following opopanax, storax, galbanum, resin, each 8 grms., ammoniacum, bdellium, wax, beef suet, dried iris, each 16 grms., cachry, 63 c.cm., and 40 peppercorns, all pounded with iris ointment to the right consistency."^ Again, for pains in the sides there is the composition of Apollophanes turpentine-resin and frankincense soot, each 16 grms., bdelHum, ammoniacum, iris, calf's or goat's kidney-suet, mistletoe juice, each 16 grms. This composition relieves pain of all kinds, softens indurations, and is moderately heating. The emollient of Andreas is for like use and it also relaxes, draws out humour, matures pus, and ;

;

;

:

:

;

' Galen, De Compositione Medicamentorum, XIII. 343, quoting from Asclepiades, gives the same prescription.

19

CELSUS ubi id maturum est, cutem rumpit, ad cicatricem perducit. Prodest impositum minutis maioribusque abscessibuSj item articulis ideoque et coxis et pedibus dolentibus item, si quid in corpore conlisum est, reficit ; praeeordia quoque dura et inflata emollit, ossa extrahit, ad omnia denique valet, quae adiuvare calor potest. I ; visci, sycamini, Id habet cerae P. quam alias sycomorum vocant, lacrimae, singulorum P, -Jf I ; piperis et rotundi et longi, Hammoniaci thymiamatis, bdelli, iridis Illyricae, cardamoraii, amomi, xylobalsami, turis masculi, murrae, resinae pyrethri, cocci Cnidi, aridae, singulorum P. -Jf ; spumae nitri, salis Hammoniaci, aristolociae Creticae, radicis ex cucumere agresti, resinae terebenthinae liquidae, singulorum P. }{• XX. Quibus adicitur unguenti irini, quantum satis est ad ea mollienda :

B

^

X

atque cogenda. 8

Praecipuum vero est ad resolvenda, quae astricta quae dura sunt, digerenda, quae coeunt, id, quod ad Polyarchum auctorem refertur. Habet iunci quadrati, cardamomi, turis fuliginis, amomi, cerae, resinae liquidae pares portiones. Aliud ad eadem Nilei croci magmatis, quod quasi Hammoniaci recrementum eius est, P. sunt, mollienda,

9

:

•}(•

10

HH

;

thymiamatis, cerae, singulorum P. -Jf XX. Ex qui-, bus duo priora ex aceto teruntur, cera cum rosa liquatur, et tum omnia iunguntur. Proprie etiam dura emollit id, quod Moschi esse dicitur. Habet galbani unciam turis fuliginis P. cerae, Hammoniaci thymiamatis trientes ; picis ;

=

;

aridae P. " *

20

H

;

aceti

heminas

tres.

The residuum of saffron, after extracting the De Comp. Med., XIII. 182.

Galen,

oil.

BOOK

V. i8. 7-IO

when it is matured ruptures the skin, and brings a It is applied with advantage to abscesses, scar over. both small and large, likevdse to joints and so both to the hips and feet when painful ; further, it repairs any part of the body that is contused ; also softens the praecordia when hard and swollen; draws outwards splinters of bone in short, is of service in

—

It is composed of cases which heat can benefit. wax 4 grms., mistletoe juice, and tears of sycaminus, also called sycomorus, 4 grms. each, round and long pepper, ammoniacum for fumigation, bdellium, all

Illyrian

iris,

cardamon,

frankincense, myrrh,

amomum dried

balsam wood, male 40 grms. each,

resin,

pyre thrum, Cnidian berries, scum of soda, ammoniac salt, Cretan aristolochia, wild cucumber root, liquid turpentine and resin, 80 grms. each, to which is added a sufficiency of iris ointment to give it proper consistency. special emollient for relaxing parts constricted, for softening parts indurated, and for dispersing any It contains collection is ascribed to Polyarchus. square rush, cardamon, frankincense soot, amomum, wax and liquid resin in equal quantities. Another emollient for the same purpose is that of

A

Nileus crocomagma," which is as it were safFron-lees, 16 grms., ammoniacum for fumigating, and wax, 80 grms. each. Of these the first two are rubbed up in vinegar, the wax is liquefied by melting in roseoil, and then all are mixed together.* Especially useful for softening induration is an emollient said to have been invented by Moschus. It contains galbanum 28 grms., frankincense soot 5S grms., wax and ammoniacum for fumigation, 112 grms. each, dried pitch 672 grms., vinegar 750 c.cm. :

CELSUS 11

Fertur etiam ad digerenda, quae coeunt, sub panacis auctore Medio, quod habet cerae P. squamae aeris, aluminis rotundi, item scissilis, P. S.

=

;

;

singulorum P. I plumbi combusti P. I S. Ad eadem Pantaenus utebatur calcis P. S. sinapis contriti, item faeni Graeci, aluminis, singulorum ;

12

;

P. I 13

14

;

sebi bubuli P. II S.

Ad strumam

multa malagmata invenio. Credo autem, quo peius id malimi est minusque facile discutitur, eo plura esse temptata, quae in personis Andrias auctor est, ut haec varie responderunt. misceantur urticae seminis P. ^ I piperis rotundi, bdelli, galbani, Hanmioniaci thymiamatis, resinae liquidae, resinae aridae, singulorum P. ^ IIII cerae, pyrethri, piperis longi, lactucae marinae seminis, sulpuris ignem non experti, quod apyron

—

:

;

;

B

Hoc autem quod Niconis spumae nitri, salis Hamcardamomi, radicis ex cucumere

vocatur, pares portiones. est:

faecis aridae aceti,

moniaci, sinapis,

quae ex resinae, singulorum P. -Jf VIII contunduntur. Expeditius ad idem fit, quod habet visci, simini stercoris, resinae, sulpuris ignem non experti pares

silvestri,

;

leni vino 15

portiones

;

et in

quo

16

est sulpuris P.

^ I, lapidis quem

cumini acetabulum. Item in quo est lapidis eiusdem pars una, sulpuris duae partes, resinae terebenthinae partes tres. Arabis autem cuiusdam est ad strumam et orientia tubercula, quae phymata vocantur, quod haec pyriten vocant P.

digerit.

-Jf

IIII,

Habet murrae,

salis

Hammoniaci,

turis,

resinae et liquidae et aridae, croci magmatis, cerae, 22

BOOK

V. i8. 11-16

We

have also one ascribed to Medius for dispersing collections of matter. It contains wax 56 grms., panax 168 grms., copper scales, round alum, split alum, 336 grms. each, calcined lead 504 grms. Pantaenus used for the same purpose, quicklime 168 grms., pounded mustard, also fenugreek and alum, 336 grms. each, ox-suet 840 grms. For scrofulous tumour I find many emollients. Now I think that the worse this disease, and the less easy its dispersal, the more have been the remedies tried, with results varying according to the several patients. Andrias invented the following: nettle-seed 4 grms., round pepper, bdellium, galbanum, ammoniacum for fumigation, dried resin, 16 grms. each, with equal parts of liquid resin, wax, pyrethrum, long pepper, seed of sea spurge, unheated sulphur, which is called apyron. Nicon's emollient contains dried vinegar lees, soda-scum, ammoniac salt, mustard, cardamon, wild cucumber These are pounded up root, resin, 32 grms. each. together in mild wine." more active emollient for the same purpose contains mistletoe juice, ape's dung, resin, untreated another emollient contains sulphur, equal parts sulphur 4 grms., the stone called pyrites 16 grms., and 63 c.cm. of cumin. In another are pyrites one part, sulphur two parts, turpentine resin three parts. An emollient, the invention of a certain Arab, serves to disperse scrofulous swelling, and the sprouting small tumours which are called phymata. It contains myrrh, ammoniac salt, incense, resin both liquid and dried, crocomagma, wax, 4 grms. each,

A

;

"

For ajiother prescription see V.

18. 26.

23

;

CELSUS singulorum P. -X- 1 lapidis eius quem pyriten vocant nil quibus quidam adiciunt sulpuris P. 11.^ P. Est etiam proficiens in struma et in iis tuberibus, quae difficiliter concocuntur, et in iis, quae carcinode sulpuris P. H vocantur, quod ex his constat nitri P. ^ IIII, murrae P. ^ VI, fuliginis turis P. g.," ;

•}(•

17

;

•?(•

:

=

Hammoniaci P. cerae P. I. Protarchus autem ad parotidas eaque tubercula, quae melicerides [favi] vel phymata nominantur, item mala ulcera pumicis, resinae pineae liquidae, turis fuliginis, spumae nitri, iridis, singulorum Villi miscebat, hisque VIII cum cerae P. P.

salis

18

,

^

^

olei 19

cyathum

et

dimidium adiciebat.

.' turn primum orientem, At adversus panum, quod phygetron Graeci vocant, et omne tuberculum, quod phyma nominatur, miscetur ocra quae Attice nominatur cum duabus partibus similae, hisque cum tunduntur subinde mel instillatur, donee malagmatis .

.

crassitudo sit. Discutit etiam omne tuberculum, quod phyma vocatur, id quod habet calcis, nitri spumae, piperis galbani P. II salis rotundi, singulorum P. -X- I P. IIII, quae excipiuntur cerato ex rosa facto. 21 Supprimitque omne quod abscedit id, in quo est murrae, galbani, fabae fresae, singulorimi P. -X- I turis, ex radice capparis corticis, singulorum P. -XSatisque omnia abscedentia digerit murex IIII. combustus et bene contritus, aceto subinde adiecto.

20

^

;

;

^

;

=

^ Marx keeps to the MSS. P. II 672 grms. Caesarius, 9> grms. This is II followed by Daremberg, emends to the usual quantity prescribed and is the amount given in § 17. * Sign this only i.e. {% of a denarius of dextans denarii occurs here. ' Marx conjectures that the words cum omnem have fallen out,

P.^

—

and

24

this text is translated.

=

:

BOOK

V. i8. 16-21

the stone called pyrites 16 grms.,to which some add sulphur 672 grms. There is also an emollient efficacious for scrofulous swellings, and for those boils which are slow to come to a head, also for those which are called It contains sulphur 8 grms., soda 16 carcinode. grms., myrrh 24 grms., frankincense soot 3*3 grms., ammoniac salt 56 grms., wax 336 grms. Protarchus, for parotid swellings, and for those small tumours which are named melicerides [favi] or phymata, and for bad ulcerations, mixed together: pumice, liquid pine-resin, frankincense soot, sodascum, iris, each 32 grms., along with wax 36 grms., to which are added 63 c.cm. of oil. But against panus " at any stage and when incipient, the condition called by the Greeks phygetron, and against any small tumour called phyma, the ochre named Attic is mixed with equal parts of wheat flour, and whilst these are being stirred together, honey is dropped in until the consistency is that of an emollient. Also all the small tumours called phymata are dispersed by an emollient containing quicklime, sodascum, round pepper, each 4 grmis., galbanum 8 grms., salt 16 grms., which are taken up in a cerate made of rose oil. Any abscession* is suppressed by galbanum and crushed beans, each 4 grms., myrrh, frankincense, And calcined caper root bark, each 16 grms. murex well pounded, with vinegar gradually added, is sufficient to disperse an abscession when forming. ''

" * '

ndvos, iTTJvos, a superficial abscess in a hair follicle. 88, note. I. 204, note. I.

25

;:

CELSUS At si satis sanguis subit, recte imponitur quod adversus phymata quoque potest. Constat ex his bdelli, styracis, Hammoniaci, galbani, resinae aridae et liquidae pineae, item ex lentisco, turis, iridis, singulorum P. II. 23 Carcinode vero phymata commode his leniuntur: galbani, visci, Hammoniaci, resinae terebenthinae, ^ in, singulorum P. I sebi taurini P. S. ; faecis I 22

^

^

;

combustae quam maxima portione, dum non faciat quam esse malagma oportet. 24

id siccius

Quod si facie contusa livor subcruentus est, haec compositio nocte et die imposita tollit aristolochiae, :

singulorum P. -Jf II ; bdelli, styracis, Hammoniaci thymiamatis, galbani, resinae aridae et ex lentisco liquidae, turis masculi, iridis Illuricae, cerae, singulorum P. -X- IIII. Idem faba quoque imposita proficit. 25 Sunt etiam quaedam malagmata, quae anastomotica Graeci vocant, quoniam aperiendi vim habent. Quale est, quod ex his constat piperis longi, spumae nitri, singulorum P. -Jf II ; erysimi P. •}{• IIII, quae cum melle miscentur. Idoneaque etiam strumae .^ vehementiaperiendae sunt. Eius generis est usque ex his est id, quod habet calcis P. ^ IIII piperis grana VI nitri, cerae, singulorum P. ^ XII thapsiae,

:

.

.

;

mellis P. ^

may *

=

;

Marx

olei

heminam.

conjectures thai the corrupt in [omitted by some represent anesi anise. Marx notes that some ivorda have fallen out here.

=

MSS,)

means that when enough blood has been by venesection the treatment described should follow but some translators think he is describing an extravasation of blood and Constantino adds pliis before satis »

Celsus probably

lost either naturally or ;

26

BOOK

V.

i8.

22-25

But if sufficient blood comes up," it is right to apply a remedy \vhich is also useful against phymata. It consists of the following ingredients bdellium, :

storax, ammoniacum, galbanum, pine-resin liquid and dried, also lentiscus-resin, frankincense, iris, 8 grms.

each.

But the phymata called carcinoid are relieved by the following galbanum, mistletoe juice, ammoniacum, turpentine-resin, 4 grms. each, beef-suet 168 grms., of burnt wine-lees as large an amount as can be added without making the mass too dry for an :

emollient.

But if after a blow on the face there is discolouration and bruising, the following prescription applied night and day takes it away aristolochia and thapsia, each 8 grms., bdellium, storax, ammoniacum for fumigation galbanum, dried resin, liquid from lentiscus-resin, male frankincense, Illyrian iris wax, each 16 grms. The application of bean:

meal also has the same effect. There are certain emollients called by the Greeks anastomotica, because they have the property of opening the pores.* Of these one contains long pepper and soda-scum, each 8 grms., hedge mustard 16 grms., these are mixed together with honey.

They

are also suitable for scrofulous tumours. Of is ... a yet more powerful one of this kind is that which consists of limel6 grms., 6 peppercorns soda and wax, each 48 grms., honey 56 grms., and 250 c.cm. of oil. this class

;

and

believes that excessive loss of blood (through venesection) referred to, comparing II. 10. 18. Of. vol. I. p. 164, on blood-letting.

is

*

p. 6,

note

a.

27

;;

CELSUS 26

Niconis quoque est quod resolvit, aperit, purgat. Habet alcyoneum, sulpur, nitrum, pumicem paribus portionibus, quibus tantum picis et cerae adicitur, fiat cerati crassitude.

ut

Ad

27

P.

-H-

^ autem Aristogenis fit ex his sulpuris resinae terebenthinae, nitri spumae, et ex

spissa 1

;

:

plumbi eloti, singulorum ^ VIII ficus aridae quam pinguissimae, sebi taurini, singulorum P. ^ VIII cerae P. -X- XII iridis Macedonicae P. -Jf VI sesami fricti acetabulum. partis

scilla

P.

-H-

II

;

interioris,

turis fuliginis P.

;

;

;

28

Maximeque

nervis et articulis

malagma

convenit.

Euthyclei est ad articulos, et ad

Igitur

omnem

dolorem et ad vesicae, et ad recenti cicatrice contractos articulos, quas ancylas Graeci nominant, quod resinae tantunhabet fuliginis turis acetabulum dem galbani sine surculis sescunciam Hammoniaci, .2 P. ^ III cerae P. S. singulorum P. bdelli Ad eosdem digitos iridis, Hammoniaci, galbani, nitri, resinae liquidae P. ^ VI singulorum P. ^ XIIII ;

:

;

;

.

.

.

.

.

=

;

;

cerae P. -H- XVI. Ad dolores articulorum Sosagorae plumbi com29 busti, papaveris lacrimae, corticis hyoscyami, styracis, peucedani, sebi, resinae, cerae, pares portiones. resinae liquidae, sandaracae, piperis, Chrysippi 30 XII quibus cerae paululum adicitur. singulorum P. 31 Clesiphontis cerae Creticae, resinae terebenthinae, nitri quam ruberrumi, singulorum P. S., olei cyathi :

:

^

;

:

^

Some M8S. Marx notes

read ossa.

that singulorum ha^ fallen out after bdelli; ///. Daremberg a further loss of words after P. The prescription then read amonniacum and omitted P. J^ II J. bdellium of each 56 grms. as in the following sentence. (Cf. list *

and that there

is

^

of apothecaries^ signs. Introduction to vol. II.)

28

BOOK There

V.

i8.

26-31

prescription of Nicon which It contains coral, sulphur, soda, and pumice, equal parts, to which pitch and wax are added to the consistency of a cerate. Again, for the hard parts there is the emollient of Aristogenes made from the following sulphur 4 grms., turpentine-resin, soda-scum, the inner part of a squill-bulb, washed lead, 8 grms. each, frankincense soot 32 grms., the ripest figs and beef-suet, 32 grms. each, wax 48 grms., Macedonian iris 24 grms., parched sesame 63 c.cm. And most of all is an emollient suitable for sinews and joints. Thus there is that of Euthycleus, suitable for joints and for any kind of pain, including that of the bladder, and for joints contracted by recent scarring which the Greeks call ancylae " it consists of frankincense soot 63 c.cm., of resin the same, is

also

relaxes, opens

a

and cleans.

:

:

stalks 42 grms.,ammoniacum and bdellium, of each 12 grms. ... of each 56 grms., wax 168 grms. Another for similar pain in the fingers contains ammoniacum, galbanum, and soda, each 56 grms., liquid resin 24 grms., wax 64 grms. The emollient of Sosagoras for pain in joints contains calcined lead, poppy tears, hyoscyamusbark, storax, sulphurwort, suet, resin and wax, equal

galbanum without

parts.

That of Chrysippus contains liquid resin, sandarach, pepper, 48 grms. each, to which a little wax is added.

That of Clesiphon *

consists of Cretan

wax, turpeneach, and

tine resin, the reddest soda, 168 grms. " »

dyKvXai, stiffened joints. Galen, De Comp. Med., XIII. 936.

29

;

CELSUS Sed

tres.

id

nitrum ante per triduum

cum

teritur, et

instillata

aqua

sextario eius incoquitur, donee omnis

umor consumatur.

Potest vero ea compositio etiam ad parotidas, phymata, strumam omnemque coitum umoris emolliendum, 32 Ad articulos fici quoque aridi partem nepetae mixtam vel uvam taminiam sine seminibus cum 33

puleio recte aliquis imponit. Eadem podagrae praesidio sunt. Sed ad eam fit Aristonis quoque, quod habet: nardi, cinnamomi, casiae,

P.

-H-

chamaeleontis,

VIII

iridis P.

;

iunci rotundi, singulorum sebi caprini ex irino liquati P.

^ I, quae

^ XX

in aceto

quam

acerrimo iacere per Idem autem etiam recentia phymata

XX dies debet. doloresque omnes discutit. 34 At Theoxenus ad pedum dolores sebi a renibus partem tertiam, salis partes duas miscebat, bisque membranulam inlitam imponebat, tum superiniciebat Hammoniacum thymiama in aceto liquatum. 35 At Numenius podagram ceterosque articulos indurates hoc molliebat habrotoni, rosae aridae, papaveris lacrimae, singulorum P. -Jf III ; resinae terebenthinae P. -Jf III I; turis, spumae nitri, singulorum P. VIII ; iridis, aristolochiae, singulorum P. •}(• XII cerae ^ P, III quibus adicitur cedri cyathus I, olei laurei cyathi III, olei acerbi sextarius. 36 Si quando autem in articulis callus increvit, Dexius docuit inponere calcis P. <}fIIII; cerussae P. VIII; resinae pineae P. «H- XX piperis grana XXX cerae P. quibus, dum contunduntur, hemina vini lenis :

^ ;

=

;

;

;

;

instillatur.

*

Daremberg emends

given, 1 kilogram, seems

30

to

P ^ 111 =

much

too large.

12 grms. as the amount

BOOK

V.

i8.

31-36

126 c.cm. of oil. But this soda is pounded up beforehand over a period of three days, water being added drop by drop, and then boiled in half a litre of water until all fluid has gone. This composition too can be applied to parotid swellings, phymata, scrofulous tumours, and to soften any collection of humour. Some apply to joints with good effect part of a dried fig mixed with catmint; or black bryony berries without the seeds, with pennyroyal. The same are good for podagra. But for this there is also Ariston's emolUent which consists of nard, cinnamon, casia, chameleon, angular rush, 32 grms. each, goat's suet in liquid iris oil 80 grms., iris which should have been steeped in the sharpest vinegar for 20 days, 4 grms. this emollient also disperses recent phymata and pain of all sorts. But Theoxenus for pain in the feet mixed one part of kidney-suet with two parts of salt and applied a thin membrane smeared with these, then poured :

over

it

ammoniacum

for

fumigation dissolved in

vinegar.

But Numenius used

to soften

podagra and

all

cases

of indurated joints with an emollient consisting of southernwood, dried rose-leaves and poppy-tears, 12 grms. each, turpentine-resin 16 grms., frankincense and soda-scum, 32 grms. each, iris and aristolochia, 48 grms. each, wax 1 kilogram, to which is added of cedar-oil 42 c.cm., of laurel-oil 126 c.cm., of bitter

500 c.cm. any time callus has formed in joints, Dexius advised an application of lime 16 grms., white lead

olive-oil

If at

32 grms., pine-resin 80 grms., 30 peppercorns, wax 56 grms. While these are being pounded together 250 c.cm. of mild wine is dropped in. 31

; :;

CELSUS 19. Ex emplastris autem nulla maiorem usum praestant, quam quae cruentis protinus vulneribus iniciuntur enhaema Graeci vocant. Haec :

B

enim reprimunt inflammationem, nisi magna vis earn concitat, atque illius quoque impetum minuunt turn glutinant vulnera, quae id patiuntur, cicatricem isdem inducunt. Constant autem ex medicamentis non pinguibus, ideoque alipe[ne] nominantur. Optimum ex his est quod barbarum vocatur. Habet aeruginis rasae P. ^ XII spimiae argenti ;

^ XX

P. aluminis, picis aridae, resinae pineae ; aridae, singulorum P. I ; quibus adiciuntur olei et aceti singulae heminae.

^

2

Alterum ad idem, quod Coacon vocant, habet spumae argenti P. ^ C resinae aridae tantundem sed spuma prius ex tribus olei heminis coquitur. ;

His duobus emplastris color niger est, qui fere talis fit ex pice atque resina at ex bitumine nigerrimus, ex aerugine aut aeris squama viridis, ex minio ruber, ex cerussa albus. 3 Paucae admodum compositiones sunt, in quibus aliquid mixturae varietas novat. Ergo id quoque nigrum est, quod basilicon nominatur. Habet panacis P. •}{• I galbani P. -Jf II picis et resinae. :

;

;

^X

singuloriun P. olei dimidium cyathum. ; 4 At, quia perviride est, zmaragdinum appellatur in quo sunt : resinae pineae P. III ; cerae P. •}(• I aeruginis P. S. ; turis fuliginis P. olei tantundem ; aceti, quo fuligo et aerugo in unum cogantur.

^

=

" (vaifiov dpiiaKov

Hippocrates III. 352 {On Joints, LXIII.

33j. dXiTT'qs without grease. See V. 26. 23 f Foreign remedies are to be generally avoided, but this was an exception. * *

32

.

;

BOOK

V. 19. 1-4

19. Among the plasters none render greater service than those for immediate application to

bleeding wounds, which the Greeks call enhaema." For these repress inflammation, unless a severe cause excites it, and even then they lessen its attack further, they agglutinate wounds which allow of it, and induce a scar in them. But as the plasters consist of medicaments which are not greasy, they

named alipe.'' The best of these

are

is the plaster called barbarum/ contains scraped verdigris 48 grms., litharge 80 grms., alum, dried pitch, dried pine-resin, 4 grms. each, to which is added oil and vinegar 250 c.cm. each. Another one called Coacon,'' used for the same purpose, consists of litharge 400 grms., dried resin the same, but the litharge should be first boiled in threequarters of a litre of oil. In these two plasters the colour is black, which is the colour generally produced by the pitch-resin, but the blackest is from bitumen, green from verdigris or copper scales, red from minium, white from white-lead. There are very few compositions in which diversity of ingredients makes any change.* Hence that plaster which is called basilicon is also black. It consists of all-heal 4 grms., galbanum 8 grms., pitch and resin, 40 grms. each, oil 20 c.cm. But, because it is bright green, a plaster is called emerald-like which contains pine-resin 12 grms., wax 4 grms., verdigris 168 grms., frankincense soot 56 grnns., oil the same, and vinegar enough to combine into one the soot and verdigris.

It

* •

KwoKos, "belonging to Cos" (the home of Hippocrates). zmaragin the black colour due to the pitch-resin is an exception.

i.e.

:

dinum

33

;;

CELSUS 6

Est etiam coloris fere rufi, quod celeriter ad cicaHabet turis tricem vulnera perducere videtur.

^I

resinae P.

-X-

spuniae argenti P.

-Jf

P.

;

H squamae aeris XX cerae P. C, ;

-Jf

;

P. ¥:

IIH

;

olei henii-

nam. Praeterea est quam paTTTovo-av a glutinando vocant. bituminis, aluminis scissilis P. -Jf Constat ex his nil spvunae argenti P. -K- XL olei veteris hemina. Praeterea sunt quaedam generis eiusdem, quae, 7 quia capitibus fractis maxime conveniunt, cephalica Philotae compositio habet: a Graecis nominantur. terrae Eretriae, chalcitidis, singulorum P. -Jf IIII murrae, aeris combusti, singulorum P. -Jf X icthyoaeruginis rasae, alu collae [singulorum] P. •?(• VI minis rotundi, raisy crudi, aristolochiae, singulorum turis masculi P. ^ VIII ; squamae aeris P. •}(• X

6

:

;

;

;

;

;

^ II

P.

;

cerae P.

I

;

et olei acerbi ternos satis est, dum arida ex eo

rosae

aceti quantum cyathos conteruntur. 8 Aliud ad idem viride: aeris combusti, squamae VI aeris, murrae, icthyocollae, singulorum P. misy crudi, aeruginis rasae, aristolochiae, aluminis VIII; cerae P. ^ I, olei rotundi, singulorum P. hemina, aceti quod satis sit. Puri autem movendo non aliud melius quam quod 9 tetrapharmacon a Graecis expeditissimum est: nominatur. Habet pares portiones cerae. picis. ;

^

^

si id non est, vitulini. Alterum ad idem enneapharmacum nominatur. quod magis purgat. Constat ex novem rebus cera

resinae, sebi taurini, 10

:

melle, sebo, resina, murra, rosa, medulla vel cervina »

pdnrovaa (awdecns) a composition which " sews up " the

wound. »

34

Galen,

De Comp. Med., XIII.

746.

BOOK is

V.

19.

5-10

There is also one, almost red in colour, which found to bring wounds rapidly to a scar. It

contains incense 4 grms., resin 8 grms., copper scales 16 grms., litharge 80 grms., wax 400 grms, oil 250 c.cm. As well, there is one called rhaptousa," because it agglutinates, consisting of bitumen and split alum 16 grms., litharge 160 grms., and 250 c.cm. of old oil.

There are also some plasters of the same class, called by the Greeks cephalica, because they are especially suitable for broken heads. That of Philotas * has the following composition Eretrian earth and chalcitis, 16 grms. each, myrrh and calcined copper 40 grms. each, isinglass 24 grms. [each], scraped verdigris, round alum, crude antimony sulphide and aristolochia, 32 grms. each, copper scales 40 grms., male frankincense 8 grms., wax 336 grms., rose-oil and bitter olive-oil, 125 c.cm. each, and sufficient vinegar to rub up the ingredients while keeping them dry. A green plaster for the same purpose consists of calcined copper, copper scales, myrrh and isinglass, 24 grms. each, crude antimony sulphide, scraped verdigris, aristolochia and round alum, 32 grms. each, wax 4 grms., oil 250 c.cm., and as much vinegar as is :

required.

But

promoting suppuration there is nothing by the Greeks tetrapharmacon, which acts very quickly. It contains wax, pitch, resin and bull's suet, or, if that is not at for

better than the plaster called

hand, veal-suet, in equal proportions. Another for the same purpose is named enneapharmacum, which is more for cleaning wounds. It has nine ingredients: wax, honey, suet, resin, myrrh. 35

; :;

CELSUS vel

11

Quorum

vitulina vel bubula, oesypo, buturo.

ipsorum quoque pondera paria miscentur. Sunt autem quaedam emplastra, quibus utriusque singula habenda sunt, rei facultas est, quae si ^ meliora sunt sed in copia reicienda sunt, iis potius adhibitis, quae proprie id, quod eo tempore opus est, consecuntur. Exempli causa duo proponam. Est igitur ad vulnera Attalium, quod habet .

.

.

:

squamae aeris P. ^ XVI Hammoniaci tantundem; ;

liquidae P.

heminas

B

-Sf

XXV

;

turis fuliginis

resinae

sebi taurini

P.

-H-

XV

terebenthinae

tantundem

;

aceti

tres, olei sextarium.

At inter ea, quae fracto capiti aceommodantur, habent quidam id, quod ad auctorem ludaeum refertur. Constat ex his salis P. ^ IIII squamae aeris rubri, aeris combusti, singulorum P. ^ XII Hammoniaci thymiamatis, turis fuliginis, resinae aridae. singulorum P. ^ XVI resinae Colophoniacae, cerae, sebi vitulini curati, singulorum P, -JfXX; TeOfpairevfxei'a aceti sesquicyatho, olei minus cyatho. Graeci appellant, quae curata vocant, cum ex sebo puta omnes membranulae diligenter exemptae sunt [ex alio medicamento]. Sunt etiam quaedam emplastra nobilia ad extrahendum. Quae ipsa quoque iinairaaTiKd nominantur; quale est quod, quia lauri bacas habet, In eo est resinae teredia daphnidon appellatur. ;

:

;

12

^ Marx thinks the text is corrupt and that there is a considerquae aiable lacuna after si ; he suggests the following : . <mul et pus movent et glutinant. Neque taraen eis quae imposita ad> 'which are both suppurative and agglutinant. And these are not better than those which are to be applied for the .

.

given purpose.' "

36

The

grease from unwashed wool,

cf.

Galen, X. 965.

;

BOOK

V. 19. 10-12

deer or calf or ox marrow, oesypum," butter equal weights of which are mixed together.^ Now there are certain plasters which produce both they are to be applied for both effects which if purposes are better but if there is a choice these are to be rejected, and those plasters rather are to rose-oil,

"^

.

,

.

;

be selected which especially effect what is needed I will mention two as examples. at the time. There is the plaster of Attalus for wounds, which contains copper scales 64 grms., frankincense soot 60 grms., ammoniacum the same; liquid turpentine 100 grms., bull-suet the same amount; vinegar three-quarters of a litre, oil half a litre. But among those suitable for broken heads, some It is include the one which is ascribed to ludaeus. composed of salt 16 grms., red copper scales and calcined copper, 48 grms. each, ammoniacum for fumigation, frankincense soot and dried resin, 64 grms. each. Colophon resin, wax and prepared calf's suet, 80 grms. each, vinegar 65 c.cm., less than 40 c.cm. of oil. The Greeks call tetherapeumena, what we call prepared, when, for instance, from suet all membranous particles are carefully removed, and so in the case of other medicaments. There are besides certain plasters noteworthy for for extracting, and these too are named epispastic instance, that called dia daphnidon,* because it contains laurel berries. In it there are terebinth-resin ;

<^

* Both the 4-ingredient and the 9-ingredient plasters are often mentioned later, e,g. by Galen, De Comp. Med., XII. 328. " i.e. suppuration and cleaning. ''

'

See p. 10, note b. Sid ha^vihojv, containing laurel (Sa<^vij) berries, Galen,

De

Comp. Med., XIII. 979. 37

;;

GELSUS benthinae P. •}(• X ; nitri, cerae, picis aridae, bacarum singulorum P. XX olei paulum. Quotiens autem bacam aut nucem aut simile aliquid posuero, scire oportebit, antequam expendatur, ei summam

^

lauri,

pelliculam esse 13

;

demendam.

Aliud eodem nomine, quod puri quoque movendo est sebi vitulini, Hammoniaci thymiamatis, picis, :

cerae, nitri, bacarum lauri, resinae aridae, aristolochiae, pyrethri pares portiones. 14

Praeter has est Philocratis, quod habet

Hammoniaci

P.

^ VII

;

P.

aristolochiae

salis

:

VIII

-Jf

cerae, resinae terebenthinae, fuliginis turis, singulonun P. spiunae argenti P. XXXII, ; quibus, ut pus quoque moveant, iridis P. •}(• IIII et galbani P. -Jf VI adiciuntur. 15 Optimum tamen ad extrahendum est id, quod a similitudine sordium rhypodes Graeci appellant. Habet murrae, croci, iridis, propolis, bdelli, capitulorum Punici mali, aluminis et scissilis et rotundi, misy, chalcitis, atramenti sutorii cocti, panacis, salis IIII ; aristoloHammoniaci, visci, singulorum P. chiae P. •}(• VIII ; squamae aeris P. -Jf XVI ; resinae terebenthinae P. ; cerae et sebi vel taurini vel hircini, singulorum P. C. 16 Hecataeo quoque auctore emplastrum generis eiusdem fit ex his galbani P. II ; fuliginis turis P. IIII ; picis P. •}(• VI ; cerae et resinae tere-

^ XV

^

^

^ LXXV

^

^

:

^

quibus paululum benthinae singulorum P. -Jf VIII irini unguenti miscetur. Valensque ad idem emplastrum viride Alexandrinum est. Habet aluminis scissilis P. -Jf VIII salis Hammoniaci P. -Jf VIII squamae aeris P. ^ XVI ; murrae, turis, singulorum P. -Jf XVIII cerae P. CL ; resinae Colophoniacae aut pineae P. -Jf CC ; olei heminam, aceti sextarium. 38 ;

17

;

=

;

^

BOOK

V. 19. 12-17

40 grms., soda, wax, dried pitch, laurel-berries, 80 grms. each, with a little oil. But whenever I mention a berry or nut or the like, it should be understood that the outer husk is to be removed before weighing. Another of the same name which also promotes suppuration, contains calf-suet, ammoniacum for fumigation, pitch, wax, soda, laurel-berries, dried resin, aristolochia and pellitory, equal parts. There is also that of Philocrates, which consists of ammoniac salt 28 grms., aristolochia 32 grms., wax, turpentine resin, frankincense soot, 60 grms. each, litharge 128 grms., to which is added, in order to promote suppuration, iris 16 grms., and galbanum 24 grms. The best as an extractive, however, is that called by the Greeks rhypodes, from its resemblance to dirt. It contains myrrh, crocus, iris, propolis, bdellium, pomegranate heads, alum both spht and round, antimony sulphide, copper ore, boiled blacking, all-heal, ammoniacum salt, mistletoe juice, 16 grms. each, aristolochia 32 grms., copper scales 56 grms., turpentine resin 300 grms., wax and ox or he-goat's suet, 400 grms. each. The plaster invented by Hecataeus is of the same class, and is composed of galbanum 8 grms., frankincense soot 16 grms., pitch 24 grms., wax and turpentine-resin, 32 grms. each, with which is mixed a little iris ointment. Efficacious for the same purpose is the green Alexandrian plaster. It consists of split alum 32 grms., ammoniac salt 32*66 grms., copper scales 64 grms., myrrh and frankincense 72 grms., wax 600 grms., Colophon or pine resin 800 grms., oil 250 c.cm., vinegar half a litre. 39

; ; ;

CELSUS Quaedam autem sunt emplastra exedentia, quae septa Graeci vocant quale est id, quod habet resinae terebenthinae, fuliginis turis, singulorum P. aluminis ladani P. ^ II squamae aeris P. -H- 1 tantundem spumae argenti [singulorum] P. •)(- IIII. 19 Exest etiam vehementer corpus atque ossa quoque resolvit et supercrescentem carnem coercet id, quod habet spumae argenti, squamae aeris uncias singulas ; 18

;

=

;

;

;

nitri

ignem non

experti, lapidis Assii, aristoloehiae P.

sextantes ; cerae, resinae terebenthinae, turis, olei veteris, atramenti sutorii, salis Hammoniaci P. S. aceti scilliti heminam aeruginis rasae P. bessem ;

Aminaei tantundem. 20 Sunt etiam adversus morsus quaedam adeommodata, quale est Diogeni nigrum, quod habet: vini

bituminis, cerae, resinae pineae aridae, singulorum C ; olei sextarium. spumae argenti P. P. -H; cerussae ; Aut in quo sunt squamae aeris P. -Jf et aeruginis rassae, singulorum P. -X- VIII ; Hammoniaci P. -Jf XII ; cerae, resinae pineae, singulorum ; spumae argenti P. •}(• C ; olei sextarium. P, -XAut in quo sunt squamae aeris P. -X- XIIII ; galbani P. •}(• VI ; cerussae et aeruginis rasae, singulorum VIII ; Hammoniaci P. -K- XII ; cerae, resinae P. .^ spuma argenti . pineae, singulorum P.

XX

^

HH

XXV

^

^ XXXV

.

concoquitur.

Rubrum quoque emplastrum, quod Ephesium

21

vocatur, hue aptum est. Habet resinae terebenthinae IIII ; minii Sinopici P. -Jf VI P. •}(• II ; galbani P. spumae VIII VI cerae P. turis fuliginis P. argenti P. •}( XXXVI ; olei veteris heminam.

^

^

;

^

;

^ Marx suggests that ex quo has fallen out Targa would emend to spumae argenti P -Jf C in quo concoquitur. :

40

before olei

spuma

sextarium

BOOK

V. 19. 18-21

Some plasters, called by the Greeks septa," eat away one such contains turpentine-resin and frankincense soot, each 56 grms., copper scales 4 grms, ladanum 8 grms., alum the same amount, litharge 16 grms. The following prescription is even violent in its action on soft tissue, and also causes exfoliation of bone and keeps down fungating flesh litharge and copper scales 28 grms. each, unheated soda, Assos stone, aristolochia, 56 grms. each, wax, turpentine resin, incense and old oil, blacking and ammoniac salt, 168 grms. each, scraped verdigris 224 grms., vinegar of squills 250 c.cm., Aminaean wine the same amount. There are also some suitable for bites one of these is the black plaster of Diogenes, which contains bitumen, wax, dried pine-resin, each 80 grms., litharge 400 grms., oil half a litre. Another consists of copper scales 16 grms., white-lead and scraped verdigris, each 32 grms., ammoniacum 48 grms., wax and pine resin, each 100 grms., litharge 400 grms., oil half a litre. Or there is that in which there are copper scales 56 grms., galbanum 24 grms., whitelead and scraped verdigris, each 32 grms., ammoniacum 48 grms., wax and pine-resin, each 140 grms. flesh

;

:

;

cooked with litharge.

The red

plaster called Ephesian

is likewise suited contains turpentine-resin 8 grms., galbanum 16 grms., minium from Sinope 24 grms., frankincense soot 24 grms., wax 32 grms., litharge 144 grms., old olive-oil 250 c.cm.

for this purpose.

It

This word is used by Aristotle (H.A. VIII. 29. 607o. 3) a drug that erodes flesh, crq-rrriKov dpnaKov, though its usual meaning was rotten, decomposed (of food) ; cf. Hippo«

of

crates, Diseases (L) VI. 451.

41

;;

CELSUS Item

22

quod ex his constat ; squamae aeris, tuns singulorum P. -^ IIII ; galbani P. -Jf VI

id,

fuliginisj salis

Hammoniaci

olei

tribus

P.

heminls.

XII = cerae P. Haec autem aliis

-Jf

;

-X-

XXV

quoque

recentioribus vulneribus recte imponuntur. 23

Sunt etiam alba lenia (leuca Graeci vocant) fere non gravibus vulneribus accommodata, praecipueque senilibus. Quale est quod habet cerussae P. ^ :

XXXII

;

^ XLVIII

P.

et cerae, singulorum

sebi vitulini curati olei

;

heminas

tres

ex quibus ea

;

cerussa coquitur.

Aliud quod habet cerussae P.

24

XXXV,

olei

heminam,

-Jf

aquae

XX

;

cerae P.

sextarium.

-H-

Quae

quotiens adiciuntur cerussae vel spumae argenti, ex his coquenda esse. Est autem ea percandida compositio quae supra posita est, ideoque elephantine nominatur.

scire licet ilia

quaedam emplastra sunt, quas Graeci nominant; ut id, quod habet mini P. ^ IIII ; spimiae argenti P. XXV ; cerae et adipis suillae, singulorum P. ^ XXXVII vitellos quattuor. 26 Alia compositio generis eiusdem cerae, resinae terebenthinae, singulorum P.-}f VI cerussae P. -Jf VIII spumae argenti, plumbi recrementi (a-Kwpiav fjioXv/3Sov Graeci vocant), singulorum P. XX; cicini olei et murtei singulorum heminae. Lenia

25

quoque

liparas fere

^

;

:

;

;

^

Tertia, quae

27

misy

cocti,

ad auctorem Archagathum refertur:

cerussae coctae P.

42

^X

;

singulorum P. -Jf IIII resinae terebenthinae

aeris combusti,

P.

^ VIII

spumae argenti

P.

;

-Jf

VI.

BOOK

V.

19.

22-27

There is another similar one which consists of copper scales and frankincense soot, each 16 grms., galbanum 24 grms., ammoniac salt 4:8'66 grms., wax 100 grms., olive-oil 750 c.cm. These plasters, however, may be also usefully applied to more recent wounds. There are also soothing white plasters, called by the Greeks leuca, fitted in general for wounds which are not severe, especially in old people. Such is that containing white-lead 128 grms., prepared calf's suet, and wax, each 192 grms., olive-oil 750 c.cm., with which the white-lead is boiled. Another consists of white-lead 80 grms., wax 140 grms., olive-oil 250 c.cm., water half a litre. Whenever these liquids are added to white lead or litharge, it is understood that those drugs are to be boiled up in the liquids. But the above composition being of a glistening white appearance is called ivory plaster.

There are also some soothing plasters, commonly called liparae " by the Greeks, such as that containing minium 16 grms., litharge 100 grms., wax and lard, each 148 grms., with the yolk of 4 eggs. Another composition of the same sort contains wax and turpentine-resin, each 24 grms., white-lead 32 grms., litharge and lead-slag, called by the Greeks (TKOipia fJioXv^Sov, each 80 grms., castor-oil and myrtleoil, each 250 c.cm. A third, said to have been invented by Archagathus, contains boiled antimony sulphide and calcined copper, each 16 grms., boiled white-lead 32 grms., turpentine-resin 40 grms., litharge 24 grms. "

Greasy plasters; the opposite of aXmij eiinXaaTpa,

note

p. 32,

b.

43

;;

CELSUS 28

Etiamnum

eiusdem

generis

spumae

:

cerae, adipis suillae, singulorum P. cocti

IIII

myrteo paulum

rosae

;

hemina.

facti partes tres

Aut

-K:

vitelli

;

ex oleo pars quarta

cerati

adipis suillae

;

argenti,

XXVII

spumae plumbi recremento. Aut argenti selibra, ex olei hemina et aquae marinae altera cocta, donee bullire desierit, cui paulum cerae sit adiectum. Aut: pares portiones cerae, sebi, stibis,

ex

:

spumae

argenti, cerussae.

quoque facultates diversas habent. Sunt enim ad recentia vulnera glutinanda sanandaque apti quails est qui habet chalcitis, misy, spumae nitri, floris aeris, gallae, aluminis scissilis modice aeris combusti, capitucocti, singulorum P. ^ I Hunc lorum raali Punici, singulorum P. -Jf III. oportet diluere aceto, ac sic, ubi vulnus glutinandum At si nervosus aut musculosus is locus est, inlinere. est, commodius est cerato miscere, sic ut illius VIII partes, nona huius sit. bituminis, aluminis B Alius ad idem constat ex his aeris combusti P. -Jf IIII scissilis, singulorum P. -Jf I 20. Pastilli

;

;

:

'»

spumae argenti P. -Jf XI olei sextario. Sed longe Polyidi celeberrimus est, sphragis autem ;

2

=

nominatur ; qui habet aluminis scissilis P. ^ I aloes atramenti sutorii P. -H- II ; murrae P. -X- V tantundem capitulorum Punici mali, fellis taurini, singulorum P. ^ VI quae contrita vino austero ;

;

;

;

excipiuntur.

Ad

3

ulcera sordida et nigritiem in auribus, naribus,

obscenis partibus, inflammationesque eorum collae P. -H- 1 atramenti sutori, aluminis ;

44

:

chrysoscissilis.,

:;

BOOK

V.

19.

28-20. 3

Yet another of the same class consists of litharge, wax and lard, each 108 grms., yolk of 4 eggs boiled, rose-oil

Another consists of a cerate myrtle-oil three parts, lard a fourth part,

250 c.cm.

made with

and a small quantity of lead-slag. Alternatively litharge 168 grms., olive-oil 250 c.cm., and an equal quantity of sea water, boiled, to which, when off the boil, a little wax may be added. Or : wax, suet, antimony sulphide, litharge and white-lead, equal parts.

For some 20. Pastils have also divers faculties. are suitable for agglutinating and making the scar upon recent wounds such as that containing copper ore, antimony sulphide, soda-scum, flowers of copper, oak-galls, split alum moderately boiled, each 4 grms., calcined copper and pomegranate-heads, each 12 grms. It should be dissolved with vinegar, and so smeared on for agglutinating a wound. But if the part wounded involves sinews or muscles, it is better to mix the pastil with a cerate, eight parts of the former to nine of the latter. Another for the same purpose is composed of bitumen and split alum, each 4 grms., calcined copper 16 grms., litharge 44 grms., oil half a litre. But the pastil of Poly ides " called the " seal " is by far the most celebrated. It contains split alum 4-66 grms., blacking 8 grms., myrrh 20 grms., lign aloes the :

same, pomegranate heads and ox-bile, 24 grms. each these are rubbed together and taken up in dry wine. For foul ulcerations and gangrene in the ears, nostrils and genitals, and their inflammatory complications, take chrysocolla 4 grms., blacking and split " Also referred to by Galen, torum, Bk. V. 12 XIII. 834.

De Compositione Medicamen45

;

CELSUS halicaccabi corticis P. ^ IIII singulorum P. -Jf II mini P. -Jf VI spumae argenti P. ^ XII cerussae P. ^ XVI quae ex aceto et coguntur et, ubi utendum ;

;

;

;

est, diluuntur.

Andronis vero est ad uvam inflammatam, ad naturalia sordida, etiam cancro laborantia gallae, atramenti sutorii, murrae, singulorum P. I ; aristolochiae, aluminis scissilis, singulorum P. -Jf II ; capitulorum Punici mali P. -Jf ex passo coacta, et ; cum usus exigit)> aceto vel vino diluta, prout valentius aut lenius vitium est, cui medendum est. Proprie autem ad ani fissa, vel ora venarum fundentia sanguinem, vel cancrum aeruginis P. -XII ; murrae P. IIII ; cummis P. -Jf VIII ; turis P. "X- XII ; stibis, lacrimae papaveris, acaciae, singuloriun P. -Jf XVI. Quae ex vino et teruntur et in ipso usu deliquantur. Expellere autem ex vesica cum urina calculum videtur haec compositio casiae, croci, murrae, costi, nardi, cinnamomi, dulcis radicis, balsami, hyperici pares portiones conteruntur, deinde vinum lene instillatur, et pastilli fiunt, qui singuli habeant P. -X- =, hique singuli cotidie mane ieiuno dantur. 21. Haec tria compositionum genera [id est, quae in malagmatibus, pastillis emplastrisque sunt] maximum praecipueque varium usum praestant. Sed alia quoque utilia sunt, ut ea, quae feminis subiciuntur: pessos Graeci vocant. Eorum haec proprietas est medicamenta composita molli lana excipiuntur, eaque lana naturalibus conditur. :

^

XXV

:

^

:

:

"

Canker means septic and gangrenous forms of inflamma-

tion, rather than what is now called cancer. p. 88 n. ; and vol. III. Appendix, p. 589 ff. * pessaries ; for prescriptions see p. 49.

46

Cf. vol.

I.

; ;

BOOK

V. 20. 3-21.

I

alum 8 grms. each, winter cherry bark 16 grms., minium 24 grms., litharge 48 grms., cerussa 64 grms,; these are both compounded with vinegar and dissolved for use with the

The uvula,

pastil of

and

same.

Andron

for the

when

is

for inflammation ot the

genitals canker."

when

foul,

and even

affected by It contains oak-galls, blacking, and myrrh, 4 grms. each, aristolochia and

alum, 8 grms. each, pomegranate-heads 100 grms., compounded with raisin wine, and when required for usfe dissolved in vinegar or wine, according as the disease to be treated is more severe or milder. But the following is appropriate for anal fissures, for bleeding piles, or for canker, verdigris 8 grms., myrrh 16 grms., gum 32 grms., frankincense 48 gi-ms., antimony sulphide, poppy tears and acacia, 64 grms. each. These are both pounded up in wine and for actual use are dissolved in the same. The following prescription is efficacious to expel stones from the bladder along with the urine casia, crocus, myrrh, costmary, nard, cinnamon, liquorice split

;

balsamum and hypericum juice, equal parts these are rubbed together, then mild wine is poured on, and pastils are made, each weighing 0-66 grm. one of them is given every morning on an empty root,

stomach.

These three classes ot compositions [emoland plasters] have very wide and varied uses. But there are other useful compositions, such as those which are introduced into women from below, the Greeks call them pessoi.'' Their characteristic is that the component medicaments are taken up in soft wool, and this wool is inserted into the genitals. 21.

lients, pastils

,

47

CELSUS Ad sanguinem autem evocandum

B

Cauneis duabus S aut alii semen conteritur, paululum, et unguento Susino aut cucumeris silvestris pars interior ex

adicitur nitri P. adicitur murrae

-Jf

=

;

miscetur lacte muliebri diluitur. ;

2

Ad

vulvam molliendam ovi vitellus et foenum et rosa et crocum temperantur. Aut elateri P. ^ salis tantundem uvae taminiae

Graecum P.

3

=

^

singulorum P.

;

;

VI melle excipiuntur. Aut Boetho auctore eroci, -Jf

^I

;

IIII ; P. sebi vitulini

resinae terebenthinae. P. -jf rosae ; I cerae P. -K- II ;

==

murrae P.

^ =

miscentur. 4

Optuma autem adversus inflammationes vulvae Numenii compositio est, quae habet eroci P. ^

=—

:

cerae

;

anserini P. 5 6

7

P.

^ XII

^I

;

^

buturi P. VIII adipis vitellos coctos duos, rosae minus ;

;

cyatho. Si vero infans intus decessit, quo facilius eiciatur,

malicorium ex aqua terendum eoque utendum est. Si concidere vitio locorum mulier solet, cocleae cum testis suis comburendae conterendaeque, deinde his mel adiciendum est. Si non comprehendit, adeps leonina ex rosa mollienda est. 22. Quaedam autem mixturae medicamentorum sunt, quibus aridis neque coactis utimur, sic ut inspergamus, aut cum aliquo liquido mixta inlinamus. Quale est ad carnem supercrescentem exedendam, quod habet: squamae aeris, fuliginis turis, singulorum P. ^ I aeruginis P. ^ II. Haec autem eadem cum melle purgant ulcera, cum cera inplent. ;

"

48

hysterical

fits, cf.

IV. 27.

1 (vol. 1. p.

446).

BOOK

V.

21.

I

B-22.

I

A

pessary for inducing menstruation contains soda 2*65 grms., added to two Caunean figs ; or garlic seeds are pounded, a little myrrh added, and these are mixed with Susine lily ointment ; or the pulp of a wild cucumber is diluted in woman's milk. To mollify the womb a yolk of egg, fenugreek, rose-oil and saffron are mixed together. Or elaterium 0-66 grm., the same quantity of salt, and black bryony berries 24 grms. are taken up with honey. The pessary invented by Boethus consists of saffron and turpentine resin, 16 grms. each, myrrh 1*33 grms., rose-oil 4 grms., calf's suet 4'66 grms., wax 8 grms., mixed together. But against inflammations of the womb, the composition of Nomenius is the best ; it consists of saffron 1 grm., wax 4 grms., butter 32 grms., goose-fat 48 grms., 2 yolks of egg boiled, and of rose-oil less than 40 c.cm. If the foetus is dead, to render its expulsion more easy, pomegranate rind should be rubbed up in water

and so used.

woman

to fits" owing to genital be burnt with their shells, and pounded up together then honey added to them. If a woman does not conceive, lion's fat is to be softened by rose-oil. 22. Now, some mixtures of medicaments are used dry, without being combined, so that they are dusted or smeared on after some liquid has been mixed with them. Such is the prescription to eat away fungous flesh, which contains copper scales and frankincense soot, 4 grms. each, verdigris 8 grms. But when combined with honey this compound cleans ulcers, when with wax it fills them up. Also antimony If a

is

liable

disease, snails are to

;

49

;

CELSUS Misy quoque

et galla,

2

paribus portionibus misce-

si

consumunt eaque vel arida inspergere licet vel excepta cadmia inlinere. Putrem vero carnem continet neque ultra serpere patitur et leniter exest mel vel cum lenticula vel cum antur, corpus

marrubio vel

;

cum

ante ex vino decoctis. mulso cocta, deinde concerato aut amarae nuces cum

oleae

Item sertula Campana trita

foliis

in

; aut calx cum ut huius pars tertia

;

sit, paulumque his croci Aut quod habet spumae argenti P. ^ VI cornu bubuli combusti P. -Jf XII olei murtei et vini B cyathos ternos. Aut quod ex his constat floris

alio, sic

adiciatur.

;

:

mali, atramenti sutorii, aloes, singulorum II ; aluminis scissilis, turis, singuloriun P. -HX. Vehegallae P. -X- VIII ; aristolochiae P. ;

Punici

^

P.

nil

^

etiam adurendo auripigmentimi cum chalcitide et aut nitro aut calce aut charta combusta item sal cum aceto. Vel ea compositio, quae habet: chalcitidis, capitulorima Punici mali, aloes, aluminis scissilis, turis, singusingulorum P. -X- II aristolochiae gallae P. -Jf VIII lorum P. ^ nil mellis quantum satis sit ad ea cogenda. P. ^ X lolii I sulpuris P. C Vel cantharidum P. -X- 1 quibus adicitur picis liquidae quantum P. ^ III Vel chalcitis quoque cum satis est ad iungendum. resina et ruta mixta; aut cum eadem resina diphryges aut uva taminia cum pice liquida. Idem vero possunt et faecis vini combustae et calcis et nitri

mentius idem

facit

:

;

;

;

;

•5«-

;

;

;

;

pares turis,

P.

=—

portiones ; vel aluminis scissilis P. -X; I ; gallae sandaracae, nitri, singulorum P.

^ VIII

^

;

aristolochiae

P.

-H-

X

;

mellis

quantum

satis sit. "

Made of terra cadmia from Cyprus, which contained oxide

of zinc.

50

BOOK

V. 22. 1-2 c

sulphide and oak-galls, if they are mixed in equal promay either sprinkle this portions, corrode flesh.

We

mixture on dry or take it up in cadmian " ointment and smear it on. Honey mixed with lentils or with horehound or with olive leaves previously boiled in wine holds in cheek putrid flesh, prevents its further spread, and is a mild corrosive. The same is the action of melilot, boiled in honey wine, then pounded up; or bitter almonds with garlic or lime with cerate in the proportion of three to one, with the addition of a little saffron. Or the composition containing litharge 24 grms., burnt ox-horn 48 grms., myrtleoil and wine, 125 c.cm. of each. Or that mixture which consists of pomegranate flowers, blacking and lign-aloes, 8 grms. each, split alum and frankincense 16 grms., oak-galls 32 grms., aristolochia 40 grms. Stronger as a corrosive is that compounded by calcining orpiment with copper ore, and with either soda or lime or burnt papyrus salt with vinegar is similar. Or that composition which contains copper ore, pomegranate heads, lign-aloes, 8 grms. each, split alum and frankincense, 16 grms. each, oak-galls 32 grms., aristolochia 40 grms., with sufficient honey to combine them. An alternative is the composition containing cantharides 4 grms., sulphur 4 grms., darnel 12 grms., to which is added enough liquid pitch to combine them. Or also that composed of copper ore mixed with resin and rue ; or slag similarly with resin ; or black bryony berries with liquid pitch. The same property too belongs both to burnt winelees and lime and soda, equal parts, or to split alum, 1*33 grms., frankincense, sandarach and soda, 4 grms. each, oak-galls 32 grms., aristolochia 40 grms., and ;

;

as

much honey

as

is

required. 51

;

CELSUS Est etiam Herae compositio, quae habet murrae, singulorum P. -X- II aloes, turis, aluminis scissilis, singulorum P. -X- IIII aristolochiae, gallae inmaturae, singulorum P. -Jf VIII malicori contriti P. X. Est ludaei, in qua sunt calcis partes duae ; nitri quam ruberrumi pars tertia, quae urina inpuberis pueri coguntur, donee strigmenti crassitudo sit. Sed subinde is locus, cui id inlinitur, madefaciendus est. At lollas chartae combustae, sandaracae, singulorum P. I ; calcis P. II ; auripigmenti tantundem miscebat. Si vero ex membrana, quae super cerebrum est,

chalcitidis,

;

;

;

^

^

^

profluit sanguis, vitellus combustus et contritus inspergi debet si alio loco sanguinis profluvium est, auripigmenti, squamae aeris, singulorum P. •}( I sandaracae P. -Jf- II ; marmoris cocti P. -Jf IIII inspergi debet. Eadem cancro quoque obsistunt. Ad inducendam cicatricem squamae aeris, turis fuliginis, singulorum calcis P. IIII. P. •}(• II ; Eadem increscentem quoque carnem coercent. :

:

^

Timaeus autem ad ignem sacrum, ad cancrum his turis, atramenti sutori, utebatur: murrae P. -Jf II singulorum P. -Sf III ; sandaracae, auripigmenti, squamae aeris, singulorum P. -X- IIII gallae P. VI cerussae combustae P. -Jf VIII. Ea vel arida inspersa vel melle excepta idem praestant. Sternumenta vero vel albo veratro vel struthio piperis, coiecto in nares excitantur, vel his mixtis veratri albi, singulorum P. -jf castorei P. }{• ; :

^

;

;

:

=

spumae

nitri P.

>}(•

I

;

struthi P.

-K-

^

IIII.

Gargarizationes autem aut levandi causa fiunt aut * p. 10,

52

note

a.

; ;

BOOK

V. 22. 3-9

There is also the compound of Heras which contains myrrh and copper ore, 8 grms. each, Hgn-aloes, frankincense, spht alum, 16 grms., aristolochia and immature oak-galls, 32 grms. each, pomegranate rind pounded 40 grms. The compound of ludaeus contains lime two parts the reddest soda one part, mixed with the urine of a young boy to the consistency of strigil scrapings." But the place on which it is smeared should from time to time be moistened.

Then the compound of lollas consists of burnt papyrus and of sandarach, 4 grms. each, lime 8 grms., mixed with the same quantity of orpiment. But if there is haemorrhage from the membrane covering the brain, a yolk of egg which has been charred and then pounded should be scattered on for haemorrhage elsewhere orpiment and copper scales, 4 grms. each, sandarach 8 grms., calcined marble 16 grms., should be dusted on. The same To induce scarifying, copper also checks canker. scales and frankincense soot, 8 grms. each, lime 16 grms. The same also counters fungous flesh. Also Timaeus used the following for ignis sacer and for canker myrrh 8 grms., frankincense and blacking, 12 grms. each, sandarach, orpiment, copper scales, 16 grms. each, oak-galls 24 grms., burnt white-lead 32 grms. This is either scattered on dry or has the same effect when taken up in honey. Sneezing too is excited by putting up the nose or the following either white veratrum or soapwort pepper and white veratrum, 0*66 grm. mixture each, castoreum 1 grm., soda-scum 4 grms., soapwort 16 grms. Now gargles are used as emollients or as repres:

;

:

53

;

CELSUS reprimendi aut evocandi. Levant lac, cremor vel tisanae vel furfurum reprimit aqua, in qua vel lenticula vel rosa vel rubus vel Cotoneuin malum vel palmulae decoctae sunt. Evocant sinapi, piper. 23. Antidota raro sed praecipue interdum necessaria sunt, quia gravissimis casibus opitulantur. Ea recte quidem dantur conlisis corporibus, vel per ictus, vel ubi ex alto deciderunt, vel in viscerum, laterum, faucium, interiorumque partium doloribus. :

Maxime autem desideranda

sunt adversus venena,

vel per morsus vel per cibos aut potiones nostris corporibus inserta.

B

Unum

est, quod habet lacrimae papaveris ?..}(•=; malabathri P. ^V; iridis Illyricae, cummi, singulorum P. -Jf II anesi P. nardi Gallici, III foliorum rosae aridorum, cardamomi, singulorum P. -Jf

acori,

^

;

;

=

IIII ; petroselini P. -Jf IIII (vel folii P. -Jf \0 5 casiae nigrae, silis, bdelli, balsami seminis, piperis albi, singulorum P. 4f V styracis P. -X- V ; ; murrae, opopanacis, nardi Syri, turis masculi, hypocistidis suci, singulorum P. -Jf VI ; castorei P. -H- VI costi, piperis albi, galbani, resinae terebenthinae, eroci, floris iunci rotundi, singulorum P. •}(• VI= dulcis radicis P. VIII quae vel melle vel ; passo excipiuntur. 2 Alterum, quod Zopyrus regi Ptolemaeo dicitur

=

composuisse :

atque

—

=—

^

constat

=

ambrosian nominasse, ex singulorum P, ^

costi, turis masculi,

piperis albi P.

^=—

;

floris

iunci rotundi P.

his

==

;

II

;

•}(

Stimulant and aromatic substances mixed with honey Celsus mentions three only, with 30, 10, and 37 ingredients respectively. These ingredients would comfort "

and wine.

patients suffering from the conditions described, and the

54

BOOK

V. 22. 9-23. 2

draw out humour. As emollients, milk, pearl-barley or bran gruel; as repressants, a decoction of lentils or rose-leaves or blackberries or quinces or of dates. Mustard and pepper draw out humour. 23. Antidotes " are seldom needed, but are at times important because they bring aid to the gravest cases. They are appropriately administered for bodily contusions, either from blows or in cases of a fall from a height, or for pain in the viscera, sides, fauces, or internal parts. But they are chiefly necessary against poisons introduced into our bodies through bites or food or drink. One consists of poppy-tears 0-66 grm., sweet flag sives or to

''

and malabathrum, 20 grms. each, Illyrian iris and gum, 8 grms. each, anise 12 grms., Gallic nard, dried rose-leaves and cardamons, 16 grms. each, parsley grms. (or trifohum 20 grms.), black casia, pepper, 20-66 grms. each, storax 20-66 grms., myrrh, opopanax, Syrian nard, male frankincense and hypocistis juice, 24 grms. each, castoreum 24 grms., costmary, white pepper, galbanum, turpentine, resin, crocus, flowers of round rush 25 grms., liquorice root 33 grms., which are taken up in honey or in raisin wine. Alternatively there is that which Zopyrus is said to have composed for a King Ptolemy, and to have called it ambrosia, consisting of the following: costmary and male frankincense, 1-33 grms. each, white pepper 1 grm., flowers of round rush 8 grms., 16-66

seseli, bdellium, balsam seed, white

<^

remedy could be administered repeatedly in small doses. The first and third include a small quantity of poppy juice. There is no other narcotic or poisonous ingredient. » '

V. 26. 24 C.

Galen, Antidotes,

II. 17.

XIV. 205. 55

. ; : ;

CELSUS cinnamomi Cilici

P.

-Jf

III

croci -Jf HII quam stacten

casiae nigrae P.

;

=—

P.-}fIIII

;

murrae,

;

V= —

P. -Jf V; nardi Indici P. }(• singula contrita melle cocto excipiuntur deinde ubi utendum est, id quod Aegyptiae fabae magnitudinem impleat, in potione vini diluitur. 3 Nobilissimum autem est Mithridatis, quod cottidie sumendo rex ille dicitur adversus venenorum pericula tutum corpus suum reddidisse. In quo haec sunt acori P. -X- V ; hyperici, cummi, costi P. ; sagapeni, acaciae suci, iridis Illyricae, cardamomi, nardi Gallici, anesi P. III singulorum P. II gentianae radicis, aridorum rosae foliorum, singupapaveris lacrimae, petroselini, lorum P. -Jf IIII casiae, silis, lolii, piperis singulorum P. -Jf IIII ; V V styracis P. longi, singulorum P. ; B castorei, turis, hypocistidis suci, murrae, opopanacis,

nominant,

Quae

^==— ^

^

;

;

=— =

^

;

=—

^

;

^

^

VI VI ; malabathri folii P. P. iunci rotundi, resinae terebenthinae, galbani, nardi, VI dauci Cretici seminis, singulorum P. ; thlaspis P. -Jf VI opobalsami, singulorum ; radicis Ponticae P. 4f VII ; croci, VI P. VII zingiberis, cinnamomi, singulorum P. singulorum floris

^

^

=—

=—

=

;

=—

^

Haec contrita melle excipiuntur, et adversus venenum, quod magnitudinem nucis Graecae impleat, ex In ceteris autem adfectibus corporis pro vino datur. modo eorum vel quod Aegyptiae fabae vel quod ervi magnitudinem impleat, satis est. Quale est, 24. Acopa quoque utilia nervis sunt. quod habet floris iunci rotundi P. -Jf II = = costi, ;

bacarum, Hammoniaci, cardamurrae, aeris momi, singulorum P.^IIII Illyricae, iridis combusti, singulorum P. ^ VII Alexandrini calami, cerae, singulorum P. -X- XIIII iunci quadrati, lauri

=— ;

;

56

;

;

BOOK

V. 23. 2-24.

I

cinnamon 12 grms., black casia 16 grms., Cilician saffron 17 grms., myrrh called stacte 20 grms., Indian nard 21 grms. Each ingredient is ground up separately, and they are taken up in boiled honey then at the time of using, a quantity the size of an Egyptian bean is dissolved in a draught of wine. But the most famous antidote is that of Mithridates,** which that king is said to have taken daily and by it to have rendered his body safe against danger from poison. It contains costmary 1-66 grms., sweet flag 20 grms., hypericum, gum, sagapenum, acacia juice, Illyrian iris, cardamon, 8 grms. each, anise 12 grms., Gallic nard, gentian root and dried roseleaves, 16 grms. each, poppy-tears and parsley, 17 grms. each, casia, saxifrage, darnel, long pepper, 20-66 grms. each, storax 21 grms., castoreum, frankincense, hypocistis juice, myrrh and opopanax, 24 grms. each, malabathrum leaves 24 grms., flower of round rush, turpentine-resin, galbanum, Cretan carrot seeds, 24-66 grms. each, nard and opobalsam, 25 grms. each, shepherd's purse 25 grms., rhubarb root 28 grms., saffron, ginger, cinnamon, 29 grms. each. These are pounded and taken up in honey. Against poisoning, a piece the size of an almond is given in wine. In other affections an amount corresponding in size to

an Egyptian bean is sufficient. 24. Acopa* again are useful for neuralgia. Of these there is one which consists of the flower of the round rush, 9-33 grms. each, costmary, square rush, laurel berries, ammoniacum, cardamons, 17 grms. each, myrrh and calcined copper 28 grms., Illyrian iris and wax 56 grms., Alexandrian flag, 1. XIV. 108. Anodyne salves, IV.

•

Galen, Antidotes, II.

*

oKona

dpfiaKa.

31. 8 (vol.

I. p.

460).

57

;

CELSUS singulorum unguenti irini cyathum. 2 Alterum, quod euodes vocant, hoc modo fit cerae resinae terebenthinae ad P. olei tantundem nucis iuglandis magnitudinem simul incocuntur deinde infusa in mortario teruntur, instillaturque subinde quam optumi mellis acetabulum, turn irini unguenti et rosae terni cyathi. 3 Enchrista autem Graeci vocant liquida, quae inlinuntur. Quale est, quod fit ad ulcera purganda iunci

P.

rotundi,

^ XXVIII

;

xylobalsami,

aspalathi,

sebi P.

I

"Sf

;

:

=—

;

;

et inplenda, maxime inter nervos, paribus portionibus inter se mixtis : buturi, medullae vitulinae, sebi vitulini, adipis anserinae, cerae, mellis, resinae terebenthinae, rosae, olei cicini. Quae separatim omnia liquantur, deinde liquida miscentur, et turn simul

teruntur. Et hoc quidem magis purgat: magis vero emollit, si pro rosa Cyprus infunditur. 4 Et ad sacrum ignem spumae argenti P. -Jf VI cornu bubuli combusti P. -Jf XII conteruntur, adiciturque invicem vinum et id quod specialiter sil vocatur, et murteum donee utriusque terni cyathi :

coiciantur.

quoque multa sunt, variisque 25. Catapotia de causis fiunt. Anodyna vocant, quae somno quibus uti, nisi nimia necessitas dolorem levant sunt enim ex vehementibus urget, alienum est medicamentis et stomacho alienis. Potest tamen etiam ad concoquendum, quod habet papaveris murrae, P. ^ I lacrimae, galbani, singulorum Ex quibus, castorei, piperis, singulorum P. -X- II. ;

:

;

quod

58

ervi

magnitudinem habet, "

^YXP''*^'"' ^ttPA'*"'^'^'

*

Cf.

V. 28.

4.

satis est devorasse.

liniments.

:

BOOK

V. 24. 1-25.

I

round rush, aspalathus and balsam wood, 112 grms. each, suet 4 grms., iris ointment 42 com.

Another called euodes is prepared as toilows grms., oil the same quantity, and turpentine-

wax 84 resin,

the size of a walnut, are boiled together, then

pounded in a mortar, and into this is gradually dropped 63 c.cm. of the best honey, and then iris ointment and rose-oil, 125 c.cm. of each. Now enchrista is the Greek name for liquid applications." Of these one is used for cleaning and filling up ulcers, especially those about sinews. It is composed of a mixture of equal parts of butter, calf's marrow, calf's suet, goose-fat, wax, honey, turpentine-resin, rose-oil and castor-oil. These are all liquefied separately, then the liquids are mixed and stirred up together. And the above is more for cleaning up wounds it is more of an emollient if ;

instead of the rose-oil, cyprus-oil is poured in. And for ignis sacer * take litharge 24 grms., burnt ox-horn 48 grms., are rubbed up together, adding by turns wine, especially that which is called sil,"^ and myrtle-oil until 125 c.cm, of each is mixed in. 25. Pills are also numerous, and are made for various purposes. Those which relieve pain through sleep are called anodynes unless there is overwhelming necessity, it is improper to use them for they are composed of medicaments which are very There is one, active and alien to the stomach. however, which actually promotes digestion ; it is composed of poppy-tears and galbanum, 4 grms. each, myrrh, castory, and pepper, 8 grms. each. Of this it is enough to swallow an amount the size of a vetch. ;

;

" Vinum siliatum meadow saxifrage.

(vol. I.

p.

498)

flavoured with

seseli,

59

CELSUS 2

Alterum stomacho peius, ad somnum valentius, ex apii seminis, mandragorae P. -Jf fit item hyoscyami seminis, singulorum P. ^ IIII quae ex vino teruntur. Unum autem eiusdem magnitudinis, quae supra (1) posita est, abunde est sumpsisse. his

=—

:

;

;

Sive

3

autem capitis

sive dentes

.

.

.^

dolores sive ulcera sive lippitudo

sive spiritus difficultas sive intestisive inflammatio vulvae est, sive

norum tormenta coxa sive iecur aut lienis aut latus torquet, sive vitio locorum aliqua prolabitur et ommutescit, occurrit B dolori per quietem eiusmodi catapotium silis, acori, rutae silvestris seminis, singulorum P. -Jf I castorei, papaveris lacricinnamomi, singulorum P. ^ II mae, panacis radicis, mandragorae malorum aridorum,2 iunci rotundi floris, singulorum P. ^ II Haec per se contrita, rursus piperis grana LVI. instillato subinde passo, simul omnia teruntur, donee crassitudo sordium fiat. Ex eo paululum aut devoratur, aut aqua diluitur et potui datur. Quin etiam silvestris papaveris, cum iam ad 4 excipiendam lacrimam maturum est, manipellus qui manu conprehendi potest, in vas demittitur, et superinfunditur aqua, quae id contegat, atque ita coquitur. Ubi iam bene manipellus is coctus est ibidem^ et cum eo umore passi par expressus proicitur mensura miscetur,infervescitque, donee crassitudinem B sordium habeat. Cum infrixit, catapotia ex eo fiunt ad nostrae fabae magnitudinem, habentque usimi :

;

;

=—

;

;

multiplicem. '

Marx

Nam

et

somnum

faciunt vel per se

supplies male habent after dentes, and this

is

translated. *

Marx

punctuates mandragorae,

'

Marx

but

296

Scribonius Largv^,

6o

malorum aridorum

(III. 18. 12) mandragorae mala. thinks there is a lacuna here and (referring

cf. vol. I. p.

Comp. Med.

73)

to

supplies exprimitur et

;

BOOK

V. 25. 2-4 B

Another, worse for the stomach, but more soporific, of mandragora 1 grm,, celery-seed and hyoscyamus seed, 16 grms. each, which are rubbed up after soaking in wine. One of the same size mentioned above is quite enough to take. But whether there is headache or ulceration or consists

ophthalmia or toothache or

difficulty in

breathing or

womb or pain in the hips or liver or spleen or ribs, or, whether owing to genital trouble, a woman collapses speechless, a pill of the following kind counteracts pain by producing sleep saxifrage, sweet flag, wild rue seed, 4 grms. each, castory and cinnamon 8 grms., poppytears, panax root, dried mandrake apples, flowers of the round rush, 9 grms. each, and 56 peppercorns. These are first pounded separately, then rubbed up all together, whilst gradually adding raisin wine until the mixture is of the consistency of sordes." small quantity is either swallowed or dissolved in water and taken as a draught. Or take a good handful of wild poppy-heads when just ripe for collecting the juice and put into a vessel and boil with water sufficient to cover it. When this handful has been well boiled there, after being squeezed out it is thrown away and with its juice is mixed an equal quantity of raisin wine, and heated until of the consistency of sordes. When the mixture has cooled, pills are formed, the size of our beans they are used in many ways. For they procure sleep intestinal gripings or inflammation of the

;

A

;

<•

Cf. p. 10, note a.

in aliud vas umor after ibidem, it is squeezed out and its juice poured into another vessel. Other editors (including Dareniberg) leave the text as it stands.

6i

CELSUS adsumpta

ex aqua data, et aurium dolores levant, modo rutae suco^ ac passo, et tormina supprimunt ex vino liquata, et inflammationem vulvae coercent mixta cerato ex rosa facto, cum paulum his croci quoque accessit et ex aqua fronti inducta pituitam in oculos decurrentem tenent. vel

adiectis exiguo

;

Item

5

P.

vulva

si

==

-H"

;

dolens

somnum

prohibet,

anesi, murrae, singulorum P.

^I

;

croci

papa-

veris lacrimae P. III ; cicutae seminis P. ^ VIII miscentur excipiunturque vino vetere, et quod lupini magnitudinem habet in tribus cyathis aquae diluitur. Id tamen in febre periculose datur. croci, murrae, 8 Ad iecur sanandum nitri P. ^ nardi Gallici, singulorum P. -X- I melle excipiuntur, daturque quod Aegyptiae fabae magnitudinem habeat. -JJ-

=—

Ad

7

;

lateris dolores finiendos piperis, aristolochiae,

murrae pares portiones. thoracis nardi P. -Jf I ; turis, casiae, singulorum P. III; murrae, cinnamomi, singulorum P. -Jf VJ; croci P. VIII ; resinae terebenthinae P. ; mellis heminae tres. nardi,

8

Ad

^

^=—

^

Ad tussim Athenionis

9

10

=

murrae, piperis, singulorum

:

papaveris lacrimae, singulorum P. }(• I. Quae separatim contusa postea iunguntur, et ad magnitudinem fabae nostrae bina catapotia mane, bina noctu dormituro dantur, Si tussis somnum prohibet, ad utrumque Heraclidis murrae, piperis longi, costi, Tarentini croci P. P.

"Jf

castorei,

;

:

^= ^=— ;

galbani, singulorum P. ; cinnamomi, castorei, I. papaveris lacrimae, singulorum P.

^

^

MS. 6a

So

V. d. Ltnden. has sucis.

Marx

ktepa Ihe MiH. suci au passi; ont

BOOK whether taken

as

V. 25. 4 B-io

they are or in water

;

they reheve

when a httle rue-juice and raisin wine are added when dissolved in wine they reheve gripings, and when mixed with cerate of rose-oil with the

earache ;

addition of a of the womb

little saffron

they relieve inflammation

when smeared upon the forehead mixed with water they check the flow of phlegm ;

also

into the eyes.

Again, if inflammation of the womb prevents sleep take saffron 1'33 grms., anise and myrrh, 4 grms. each, poppy-tears 12 grms., hemlock seed 32 grms. These are mixed together, and taken up in old wine, and a pill the size of a lupin is dissolved in 125 c.cm. of water. It is dangerous, however, to give it when there is fever. For the relief of pain in the liver soda 1 grm., saffron, myrrh, Gallic nard, 4 grms. each, are taken up in honey, and a pill the size of an Egyptian bean administered. A pill to stop pain in the side is made of pepper, aristolochia, nard, and myrrh in equal parts. A pill for pain in the chest is made from nard 4 grms., frankincense and casia, 12 grms. each, myrrh and cinnamon, 24 grms. each, saffi'on 32 grms., turpentine-resin 1 grm., honey three-quarters of a litre.

The pill of Athenion for cough contains myrrh and pepper, 0-66 grm. each, castory and poppy-tears, 4 grms. each these are rubbed down separately, then together, and two pills, the size of our bean, are given in the morning .and two at bed-time. If cough prevents sleep the pill of Heracleides of Tarentum relieves both ; it contains saffron 0-66 grm., myrrh, long pepper, costmary, galbanum, 1 grm. each, cinnamon, castory and poppy-tears, 4 grms. each. ;

63

;

CELSUS Quod si purganda ulcera in faucibus tussientibus sunt, panacis, murrae, resinae terebenthinae, singulorum P. uncia ; galbani P. -J^ hysopi P. ; conterenda sunt, bisque hemina mellis adicienda, et quod digito excipi potest, devorandum est. 12 Colice vero Cassi ex his constat: croci, anesi, castorei, singulorum P. -K- III ; petroselini P. -Jf IIII piperis et longi et rotundi, singulorum P. -jfV; papaveris lacrimae, iunci rotundi, murrae, nardi, singulorum P. -Jf VI ; quae melle excipiuntur. Id autem et devorari potest et ex aqua calida sumi.

11

^=—

=

14

Infantem vero mortuum aut secundas expellit aquae potio, cui salis Hammoniaci P. ^ I, aut cui dictamni Cretici P. -Jf I adiectum est. Ex partu laboranti erysimum ex vino tepido

15

ieiunae dari debet. Vocem adiuvat turis P.

13

16

I in duobus cyathis vini datum. Adversus urinae difficultatem piperis longi, castorei, murrae, galbani, papaveris lacrimae, croci, costi

unciae

singulae

•}(•

styracis,

;

resinae

terebenthinae

pondo sextantes, melabsinthi cyathus. Ex quibus ad magnitudinem fabae Aegyptiae et mane et cenato dari debet. 17

modo fit: casiae, iridis, cinnanardi, murrae, turis, singulorum P. I ; croci P. •?(• I piperis grana ex passi tribus ; sextariis decocuntur, donee mellis crassitudo his fiat. Arteriace vero hoc

momi,

Aut in

=—

croci,

passi

cuntur.

murrae,

turis,

singulorum P.

-X-

I

coiciuntur

eundem modum, eodemque modo decoAut eiusdem passi heminae tres usque eo

• Cf.

64

^

XXX

Galen,

De Comp. Med., IX.

4,

Xlll. 276

BOOK

V. 25. 11-17

But if ulcers of the throat causing cough are to be cleaned, panax, myrrh and turpentine-resin, 28 grms. each, galbanum 0-66 grm., hyssop 1 grm. are rubbed together, and 250 c.cm. of honey added to them and as much swallowed

as

can be taken up on the

finger.

The pill" of Cassius for colic contains saffron, anise, castory, 12 grms. each, parsley 16 grms., pepper both long and round, 20 grms. each, poppy-tears, round these are taken rush, myrrh, nard, 24 grms. each up in honey. It may be either swallowed as it is or dissolved in hot water. A draught for the expulsion of a dead foetus or placenta consists of ammoniac salt 4 grms., or of Cretan dittany 4 grms. in water. In difficult labour hedge mustard in tepid wine should be administered on an empty stomach. The voice is strengthened by frankincense 4 grms. in two cups of wine. P or difficult micturition long pepper, castory, myrrh, galbanum, poppy-tears, saffron, costmary, 28 grms. each storax and turpentine-resin, 56 grms. each, honey with absinth 42 c.cm. Of this an amount the size of an Egyptian bean should be taken in the ;

;

morning and

A

after dinner.

the windpipe is prepared as cinnamon, nard, myrrh, frankincense, 4 grms. each saffron 1 grm. and 30 peppercorns boiled in a litre and a half of raisin wine until of the consistency of honey. Or, saffron, myrrh, frankincense, 4 grms. each, similarly boiled in raisin wine to the same consistency. Or 750 c.cm. of raisin

medicine

follows

:

*

for

casia, iris,

;

*

dfynjpiaKri, sc. larpeio., cf. Pliny,

;

NM.

XXIIl.

7. 71.

65

;

GELSUS coquuntur, donee extracta inde gutta indurescat eo adicitur tritae casiae P. ^ I. 26. Cum facultates medicamentorum proposuerim, genera, in quibus noxa corpori est, proponam.

quinque sunt

cum

:

quid extrinsecus

laesit,

Ea

ut in vul-

cum quid intra se ipsum corruptum est, ut in cancro (cap. xxviii) cum quid innatum est, ut in vesica calculus cum quid increvit, ut vena, quae intumescens in varicem convertitur neribus (capp. xxvi, xxvii)

;

;

;

cum quid deest, ut cum curta pars aliqua est. Ex his alia sunt, in quibus plus medicamenta, in quibus plus

praecipue

manus

proficit.

scalpellum

VII, VIII), nunc de

et

iis

Ego

manum

dicam, quae

dilatis

iis,

postulant

alia,

quae (libb.

maxime medica-

mentis egent. Dividam autem banc quoque curandi partem sicut priorem (III. 1,3; I. 4, 1) et ante dicam de iis, quae in quamlibet partem corporis incidunt, turn de iis, quae certas partes infestant (VI. 1 seqq.). Incipiam a vulneribus. In his autem ante omnia scire medicus debet, quae insanabilia sint, quae difficilem curationem habeant, quae promptiorem. Est enim prudentis hominis

primum eum,

qui servari

non potest, non adtingere.

.^ eius, ut occisi, quern sors nee subire speciem deinde ubi gravis metus sine certa ipsius interemit .

.

;

Marx

: speciem
suggests

>

' '

66

'

V. 26, 27. VII. 26, 27.

*

*

V. 28. 2. VII. 82.

;

BOOK

V. 25. 17-26.

c

I

wine are boiled until a drop, if taken out, solidifies thereupon pounded casia 4 grms. is added. 26. Now that I have set out the properties of the medicaments, I will explain the classes of lesions harmful to the body there are five when something from without causes the lesion, as in the case ;

:

of wounds " when some internal part has become corrupted, as in the case of canker ^ when some new formation has occurred, such as a stone in the bladder " when something has grown bigger, as when a vein swells up and is converted into a varix ^ when there is some defect, as when some part has been mutilated.* In some of these medicaments are more effectual, in others surgery. Postponing those conditions which demand in particular the scalpel and surgical treatment,/ I will speak now of those which chiefly require medicaments. As I have done before, I shall divide this part of treatment, and speak first of those lesions which may occur in any part of the body,'' then of those which attack particular parts.' I shall begin with wounds. In this connexion, however, a practitioner should know above all which wounds are incurable, which ;

;

;

;

«'

may be cured v^dth

difficulty,

and which more

readily.

the part of a prudent man first not to touch a case he cannot save, and not to risk the appearance of having killed one whose lot is but to die i next, when there is grave fear without, however, absolute

For

it is

;

'

VII.

»

I. 4. 1,

'

III. 1. 3.

is

*

Books VII, VIII.

V. 26-28.

VI. 1-19. stands cannot be translated, but the general as given above. For a suggested restoration, see

The text

sense

Cf.

9. 1.

as

'

it

critical note.

67

CELSUS tamen desperatione est, indicare necessariis periclitantis in difficili spem esse, ne, si victa ars malo fuerit,

D

vel ignorasse vel fefellisse videatur.

denti viro conveniunt,

rem

sic

quo plus

adtollere,

Sed ut haec pruparvam

rursus histrionis est

praestitisse videatur.

garique aecum est confessione promptae curiosius etiam circumspiciat, ne,

guum 2

est,

Obli-

rei,

quo

quod per se

exi-

maius curantis neglegentia

fiat.

Servari non potest, cui basis cerebri, cui cor, cui stomachus, cui iocineris portae, cui in spina medulla

percussa est, cuique aut pulmo medius aut ieiunum aut tenuius intestinum aut ventriculus aut renes vulnerati sunt cuive circa fauces grandes venae vel ;

arteriae praecisae sunt. 3

Vix autem ad sanitatem perveniunt, quibus ulla parte aut pulmo aut iocineris crassum aut membrana, quae continet cerebrum, aut lienis aut vulva aut

aut ullum intestinum aut saeptum transversum vulneratum est. li quoque in praecipiti sunt, in quibus usque ad grandes intusque conditas venas in alis vel poplitibus mucro desedit. Periculosa etiam vulnera sunt, ubicumque venae maiores sunt, quoniam exhaurire hominem profusione sanB guinis possunt. Idque evenit non in alis tantum atque poplitibus, sed etiam in iis venis, quae ad anum vesica

testiculosque

vulnus est,

perveniunt.

quodcumque

Praeter

haec

malum

in alis vel feminibus

vel

inanibus locis vel in articulis vel inter digitos est;

item 68

quodcumque

musculuni

aut

nervum

aut

BOOK

V. 26.

I

c-3 B

despair, to point out to the patient's relatives that hope is surrounded by difficulty, for then if the art

overcome by the malady, he may not seem to have been ignorant or mistaken. But while such steps become a prudent practitioner, it is like a mountebank to exaggerate a small matter in order to enhance his own achievement. It is right to commit himself to a statement that a case is simple in order that he may examine it with even more care for fear a case slight in itself may become worse by negligence on the doctor's part. It is impossible to save a patient when the base of the brain, the heart, the gullet, the porta of the liver, or the spinal marrow has been pierced when the middle of the lung, or the jejunum, or the small intestine, or the stomach, or kidneys have been wounded; or when the large blood-vessels and arteries in the region of the throat have been is

;

cut.

Again, there is hardly ever recovery when either the lung or the thick part of the liver or the membrane enclosing the brain, or the spleen, womb, bladder, any of the intestines or diaphragm has been

wounded in any part. There is also grave danger when the point of a weapon has gone down to the large blood-vessels deeply seated in the armpits or hams. Also wounds are dangerous wherever the blood-vessels are larger, because they may exhaust the patient by profuse bleeding. This occurs not only

the armpits and hams, but also in those bloodwhich go to the anus and testicles. Moreover, a wound is a bad one whenever it is in the armpits or in the thighs or in hollow places or in joints or between the fingers ; also whenever a muscle in

vessels

69

;

CELSUS arteriam aut

membranam

aut os aut cartilaginem

Tutissimum omnium, quod in came est. Et haec quidem loco vel peiora vel mitiora sunt.

laesit.

Modo vero periculum facit, quodcumque magnum est. Aliquid etiam in vulneris genere figuraque est. peius est, quod etiam conlisum quam quod tantum discissum est, adeo ut acuto quoque quam retunso telo vulnerari commodius sit. Peius etiam vulnus est, ex quo aliquid excisum est, exve quo caro alia parte abscisa alia dependet. Pessimaque plaga curva est tutissima quae lineae modo recta est quo deinde propius huic illive figurae vulnus est, eo

Nam

:

vel deterius vel tolerabilius est.

Quin etiam confert aliquid et aetas et corpus et vitae propositum et anni tempus ; quia facilius sanescit puer vel adulescens quam senior, valens quam infirmus ; neque nimis tenuis neque nimis plenus, quam si alterum ex his est ; integri habitus

quam

corrupti, exercitatus

quam

iners, sobrius

et

temperans quam vino venerique deditus. Oportunissimumque curationi tempus vernum est, aut certe neque fervens neque frigidum, siquidem vulnera et nimius calor et nimium frigus infestant, maxime tamen horum varietas ideoque perniciosissimus autumnus est. Sed pleraque ex vulneribus oculis subiecta sunt quorundam ipsae sedes indices sunt,quas alio loco (IV. ;

1, 1 seqq.) demonstravimus, cum positus interiorum partium ostendimus. Verum tamen quia quaedam

vicina sunt, interestque vulnus in

summa

parte

sit

" e.g. if the wound is in the intestine, though it cannot be seen, the escape of faeces indicates its position. For the description of the internal organs, cf. vol. I. p. 384.

7Q

;;

BOOK

V. 26. 3 B-7

or sinew or artery or membrane or bone or cartilage is injured. The safest of all is a wound in the flesh. The above wounds are severer or slighter according to their situations. Still, whenever it is large, a

wound makes for danger. The class of wound and its shape are also important. For a contused wound is worse than one simply incised, hence it is better to be wounded by a sharp weapon than by a blunt one. A wound is worse also if a piece is cut out, or if the flesh is cut away in one part and hanging free in another. A curved wound is worst, a straight linear one safest hence a wound is more or less serious, according as it approximates to the former or to the latter shape. Again, both age and constitution and mode of life and the season have also some influence for a boy or young adult heals more readily than does an old man; one who is strong than a weak man; a man who is not too thin or too fat than one who is either of these one of sound habit than of unsound one who takes exercise than a sluggard one who is sober and temperate than one addicted to wine and venery. And the most opportune time for healing is the spring, or at any rate when the weather is neither cold nor hot, for wounds are harmed by excessive heat and excessive cold, but most of all by variations of these ; hence autumn is the most pernicious ;

;

;

season.

Now most wounds are open to view; some are inferred from their situation," which we have pointed out elsewhere when indicating the positions of the internal parts. Since, however, some of these wounds are near at hand, and it is of importance whether the wound is superficial or has penetrated inwards, 71

;

CELSUS an

penetraverit,

penitus

necessarium

subicere, per quas, quid intus

8

actum

notas

est

sit, scire possi-

mus, et ex quibus vel spes vel desperatio oriatur. Igitur corde percusso sanguis multus fertur, venae elanguescunt,

color

pallidissimus,

sudores

frigidi

malique odoris tamquam inrorato corpore oriuntur, extremisque partibus frigidis matura mors sequitur.

Pulmone vero

9

icto spirandi difficultas est

ex ore spumans, ex plaga ruber; spiritus

cum

quidam

sine ratione consurgunt.

sono fertur

sanguis

;

simulque etiam

in vulnus inclinari iuvat

;

vulnus inclinati sunt, loquntur,

Multi si

si

in

ipsum

in aliam partem,

obmutescunt. 10

locineris autem vulnerati notae sunt multus sub ad dextra parte praecordiorum profusus sanguis in ventrem cubandi spinam reducta praecordia ;

;

dulcedo

;

punctiones doloresque usque ad iugulum

latum scapularum os intenti bilis vomitus accedit. Renibus vero percussis dolor ad inguina

iunctumque

ei

quibus

;

nonnumquam etiam 11

difficulter urina

losque descendit; 12

testicu-

redditur, eaque

aut haec cruenta aut cruor fertur. At liene icto sanguis niger a sinistra parte pro-

rumpit

;

praecordia

indurescunt;

sitis

cum

ventriculo ab

eadem parte

ingens oritur; dolor ad iugulum

sicut iocinere vulnerato venit.

At cum vulva percussa

13

est, dolor

Proeinium 75. Vol. I. p. 40. For the various meanings of praecordia, note a, and index.

inguinibus et

« *

72

cf. vol. I.

p.

100

BOOK

V. 26. 7-13

necessary to state the signs by which it is possible to recognize what has happened inside, and from which follow either hope or despair." it is

Now when

the heart is penetrated, much blood the pulse fades away, the colour is extremely pallid, cold and malodorous sweats burst out as if the body had been wetted by dew, the extremities become cold and death quickly follows. But when the lung is pierced there is difficulty in breathing; frothy blood escapes from the mouth, red blood from the wound; and at the same time breath is drawn with a noise; to lie upon the wound affords relief; some stand up without any issues,

reason.

the

Many

wound

;

if

speak if they have been laid upon upon the opposite side they become

speechless.

Symptoms that the liver has been wounded are that considerable haemorrhage occurs from under the right part of the hypochondria * the hypochondria are retracted towards the spine the patient is eased by lying on his belly; stabbing pains spread upwards as high as the clavicle and its junction with the scapula; to which, not infrequently, also bilious ;

;

vomiting

added. the kidneys have been penetrated, pain spreads down to the groin and testicles urine is passed with difficulty, and it is either bloodstained or actual blood clot is passed. But when the spleen has been pierced, black blood flows out fi-om the left side; the hypochondria on that side together with the stomach become hard; great thirst comes on; pain extends to the clavicle as when the liver has been wounded. But when the womb has been penetrated, there is is

When

;

73

;;

CELSUS coxis et feminibus est

sanguinis pars per vulnus,

;

pars per naturale descendit

vomitus

;

bilis insequitur.

Quaedam obmutescunt, quaedam mente quaedam

14

labuntur,

conpotes nervorum oculorumque dolore urgeri se confitentur, morientesque eadem, quae corde vulnerato, patiuntur. Sin cerebrum membranave eius vulnus accepit, sanguis per nares, quibusdam etiam per aures exit fereque bilis vomitus insequitur. Quorundam sensus optunduntur, appellatique ignorant; quorundam trux vultus est ; quorundam oculi quasi resoluti hue atque illuc moventur fereque tertio vel quinto die delirium accedit multorum etiam nervi distenduntur. Ante mortem autem plerique fascias, quibus caput deligatum est, lacerant ac nudiun vulnus frigori obiciunt. Ubi stomachus autem percussus est, singultus et bilis vomitus insequitur si quid cibi vel potionis adsumptum est, ea redditur cito. Venarum motus elanguescunt, sudores tenues oriuntur, per quos sui

;

;

15

;

extremae partes frigescunt.

Communes

16

vero

vulnerati notae sunt

ieiuni :

nam

intestini

et

ventriculi

cibus et potio per vulnus

praecordia indurescunt nonnumquam bilis ; per OS redditur. Intestino tantum sedes inferior est. Cetera intestina icta vel stercus vel odorem eius exhibent. 17 Medulla vero, quae in spina est, discussa nervi sensus intercidit resolvuntur aut distenduntur

exeunt

;

;

interposito

74

tempore aliquo sine voluntate

inferiores

;

BOOK

V. 26. 13-17

pain in the groins and hips and thighs blood passes downwards in part through the wound, in part by the vagina biUous vomiting follows. Some become speechless, some are mentally disturbed, others whilst composed in mind complain of pain in their sinews and eyeballs, and when dying they suffer like those wounded in the heart. When the brain or its membrane has been wounded, blood escapes through the nostrils, in some also through the ears and generally bilious vomiting follows. Some lose their senses and take no notice when spoken to some have a wild look in some the eyes move from side to side as if they were out of control ; generally on the third or fifth day delirium supervenes ; many have also spasm of sinews. Again, before death many tear off the bandages with which their head has been bound up, and expose the bared wound to cold. But when the gullet has been penetrated, hiccough and bilious vomiting follow ; if any food or drink is swallowed, it is returned at once pulsation of the blood-vessels fades away thin sweat breaks out, following which the extremities become cold. The signs when the small intestine and the stomach have been wounded are the same for food and drink come out through the wound the hypochondria become hard, sometimes bile is regurgitated through the mouth. Only in the case of the intestine the situation of the wound is lower down. All other intestinal wounds cause the emission of faeces or a faecal odour. When the marrowwhich is within the spine has been crushed, there is either paralysis or spasm of sinews sensation is interrupted; after some time there is ;

;

;

;

;

;

;

;

;

75

CELSUS parte??

semen

vel

vel

urinam

vel

etiam

stercus

excernunt.

At si saeptum transversum percussum est, praecordia susum contrahuntur ; spina dolet spiritus rarus est; sanguis spumans fertur. 19 Vesica vero vulnerata dolent inguina quod super pubem est, intenditur; pro urina sanguis, at ex ipso vulnere urina descendit. Stomachus adficitur itaque aut bilem vomunt, aut singultiunt; frigus et ex eo mors sequitur. 20 His cognitis etiamnum quaedam alia noscenda ad omnia vulnera ulceraque, de quibus dicturi sumus, pertinentia. Ex his autem exit sanguis, sanies, pus. Sanguis omnibus notus est sanies est tenuior hoc, varie crassa et glutinosa et colorata. Pus crassissimum albidissimumque, glutinosius et sanguine et sanie. Exit autem sanguis ex vulnere recenti aut iam sanescente, sanies [est] inter utrumque tempus, B pus ex ulcere iam ad sanitatem spectante. Rursus et sanies et pus quasdam species Graecis nominibus 18

;

:

:

:

distinctas habent. Est enim quaedam sanies, vel hidros vel melitera nominatur; est pus,

quae quod

elaeodes appellatur.

Hidros tenuis, subalbidus ex ubi nervo laeso inflammatio secuta est. Melitera crassior et glutinosior, subalbida, mellique albo subsimilis. Fertur haec quoque ex malis ulceribus, ubi nervi circa articulos laesi sunt, et inter haec loca maxime ex genibus. Elaeodes tenue, subalbidum, quasi unctiun, colore atque pinguitudine oleo albo non dis-

malo ulcere

C

"

iSpcos,

exit,

sweat,

maximeque

but other editors read lx<^P

Hipp. HI. 44 (Head wounds XFX.). *

fieXtTTjpos

"

Like olive

76

honey-like. oil (iXatov).

= sauies,

cf.

BOOK

V. 26. 17-20 c

involuntarily evacuation from the parts either semen or urine or even faeces.

below of

But if the diaphragm has been penetrated, the praecordia are contracted upwards; the spine is painful breathing is laboured ; frothy blood escapes. When the bladder has been wounded, the groins are painful the hypogastrium becomes tense ; blood is passed, instead of urine, the urine being discharged from the actual wound. The gullet is affected, and so the patients either vomit bile or hiccough. Coldness and after that death follows. Even when these facts are known, there are still some other things to be learnt about wounds and ulcerations in general, of which we will now speak. From wounds, then, there comes out blood, or sanies, or pus. Blood everybody knows sanies is thinner than blood, varying both in thickness and stickiness and colour. Pus is the thickest and whitest, more sticky than either sanies or blood. Now blood comes out from a fresh wound or from one which is already healing, sanies between these two periods, pus from an ulceration already beginning to heal. Again, the Greeks distinguish by name different kinds of sanies and pus. For there is a kind of sanies which is named either hidros " or melitera ; there is pus which is called elaeodes.'" Hidros is thin, whitish, and comes from a bad ulceration, especially when inflammation has followed upon a wound of a sinew. Melitera is thicker, stickier and whitish, something like honey. It is likewise discharged from bad ulcerations, when sinews near to joints have been wounded, and among such places especially from the knees. Elaeodes is thin, whitish, fatty, in colour and fattiness not unlike white olive-oil; it appears ;

;

;

''

77

:

CELSUS simile

;

apparet in magnis ulceribus sanescentibus. est sanguis nimium aut tenuis aut

Malus autem crassus,

colore

vel

lividus

vel

niger,

aut pituita

optimus calidus, ruber, modiee D crassus, non glutinosus. Itaque protinus eius vulneris expedita magis curatio est, ex quo sanguis bonus fluxit. Itemque postea spes in iis maior est, ex quibus melioris generis quaeque proveniunt. Sanies igitur mala est multa, nimis tenuis, livida aut pallida aut nigra aut glutinosaautmali odoris, aut quae ipsum ulcus et iunctam ei cutem erodit melior est non multa, modiee crassa,subrubicunda aut subalbida. E Hidros autem peior est multus, crassus, sublividus aut subpallidus, glutinosus, ater, calidus, mali odoris

mixtus aut varius

:

:

tolerabilior est subalbidus, qui cetera

prioribus habet.

omnia contraria

Melitera autem mala est multa et

melior, quae tenuior et minus copiosa est. Pus inter haec optimum est sed id quoque peius est multum, tenue, dilutum, magisque si ab initio tale est; itemque si colore sero simile, si pallidum, si lividum, si faeculentum est; praeter haec, si male F olet, nisi tamen locus hunc odorem excitat. Melius est, quo minus est, quo crassius, quo albidius itemque

percrassa

:

;

;

aequale est modo tamen convenire et magnitudini vulneris et tempori debet. Nam plus ex maiore, plus nondum solutis inflammationibus naturaliter fertur. Elaeodes quoque si

leve est,

si

nihil olet, si

parum pingue quo minus ipsum pinguius, eo melius est.

peius est multum, et

quoque 7,8

id

:

:

eius,

BOOK

V. 26. 20 c-F

when they are healing. Blood too thin or too thick, livid or black in colour, or mixed with phlegm or variable it is best when hot, red, moderately thick, and not sticky. Consequently from the first the treatment is more expeditious in the case of a wound from which good blood has flowed. Also later there is more hope in the case of wounds from which all the discharges are of the better kind. Thus sanies is bad when profuse, too thin, livid, or pallid or black or sticky or malodorous or when it erodes either the ulceration itself or the skin adjoining it ; it is better when not profuse, moderately thick, reddish or whitish. But hidros is worse when it is profuse, thick, somewhat livid or pallid, sticky, black, hot, malodorous; it is less serious when whitish, and when all the rest of its characteristics are the opposite of the foregoing. Melitera again is bad when profuse and very thick better for being thinner and less copious. Amongst these discharges pus is the best ; but it is likewise worse when profuse, thin, watery, and the more so if it is such from the beginning and also if it is in colour like whey, if pallid, or livid, or like wine-lees ; if, besides, it is malodorous, unless, however, it is the part which causes this odour. It is better, the smaller the quantity, the thicker and whiter; also if it is bland, odourless, uniform; none the less it should correspond in quantity with the size and age of the wound. For naturally there is more discharge, the larger the wound, still more when inflammation has not yet subsided. Elaeodes also is worse when large in quantity and but little fatty, the less in quantity and the more fatty the in large ulcerations is

bad when

it is

;

;

;

better.

79

CELSUS Quibus exploratis, ubi

21

aliquis ictus est qui servari

duo sunt ne sanguinis neve inflammatio interemat. Si profusionem timemus, quod ex sede vulneris et ex magnitudine eius et ex impetu ruentis sanguinis intellegi potest, siccis linamentis vulnus inplendum est, supraque imponenda spongia ex aqua frigida expressa ac manu super conprimenda. Si parum sic sanguis conquiescit, saepius linamenta mutanda sunt, et si sicca parum valent, aceto madefacienda sunt. Id vehemens ad sanguinem subprimendum est ideoque quidam id volneri infundunt. Sed alius rursus metus subest, ne nimis valenter ibi retenta materia magnam inflammationem postea moveat. Quae res efficit, ut neque rodentibus medicamentis neque adurentibus et ob id ipsum inducentibus crustam sit utendum, quamvis pleraque ex his sanguinem supprimunt; sed, si semel ad ea decurritur, iis potius, quae mitius idem efficiunt. Quod si ilia quoque profluvio vincuntur, venae quae sanguinem fundunt adprehendendae, circaque id quod ictum est duobus locis deligandae intercidendaeque sunt, ut et in se ipsae coeant, et nihilo minus ora praeclusa habeant. Ubi ne id quidem res patitur, possunt ferro candenti aduri. Sed etiam satis multo sanguine efFuso ex eo loco, quo neque nervus neque musculus est, ut puta in fronte vel superiore capitis parte, commodissimum tamen est cucurbitulam potest, protinus prospicienda

:

profusio

B

;

C

admovere a diversa parte, ut revocetur.

80

illuc

sanguinis cursus

;

BOOK

V. 26. 21-21 c

After these matters have been investigated, when has been wounded who can be saved, there are in the first place two things to be kept in mind that he should not die from haemorrhage or inflammation. If we are afraid of haemorrhage which can be judged both from the position and size of the wound and from the force of the flowing blood, the wound is to be filled with dry lint, and over that a sponge applied, squeezed out of cold water, and pressed down by the hand. If the bleeding is not checked thus, the lint must be changed several times, and if it is not effective when dry, it is to be soaked in vinegar. Vinegar is powerful in suppressing a flow of blood a

man

:

and some, therefore, pour

it

into wounds.

But then

there is an underlying fear of another kind, that if too much diseased matter is forcibly retained in the wound it will afterwards cause great inflammation. It is on this account that no use is made, either of corrosives or of caustics, owing to the crust they induce, although most of these medicaments suppress bleeding but if for once recourse is had to them, choose those which have a milder action. But if even these are powerless against the profuse bleeding, the blood-vessels which are pouring out blood are to be seized, and round the wounded spot they are to be tied in two places and cut across between so that the two ends coalesce each on itself and yet have their orifices closed. When circumstances do not even admit of this, the blood-vessels can be burnt with a red-hot iron. But even when there has been considerable bleeding from a place where there is neither sinew nor muscle, such as the forehead or top of the head, it is perhaps best to apply a cup to a distant part, in order to divert thither the course of the blood. ;

8j

CELSUS Et adversus profusionem quidem in adversus inflammationem autem

22

his

est:

Ea timeri

guinis cursu.

auxilium

in ipso san-

potest, ubi laesum est vel os

vel nervus vel cartilago vel musculus, aut ubi

modo

sanguinis pro

parum

Ergo quotiens quid tale erit, sanguinem mature subprimere non oportebit, sed pati fluere, dum tutum erit; adeo ut, si parum fluxisse videbitur, mitti quoque ex brachio debeat; utique si corpus iuvenile et robustum et exercitatum est, multoque magis si id vulnus ebrietas vulneris fluxit.

praecessit. Quod si musculus laesus videbitur, praecidendus erit: nam percussus mortiferus est, praecisus sanitatem recipit. 23 Sanguine autem vel subpresso, si nimius erumpit, vel exhausto, si per se parum fluxit, longe optimum est vulnus glutinari. Potest autem id, quod vel in cute vel etiam in carne est, si nihil ei praeterea mali accedit. Potest caro alia parte dependens, alia inhaerens, si tamen etiamnimi integra est et coniunctione corporis fovetur. In iis vero, quae glutinantur, duplex curatio est. Nam si plaga in molli parte est, sui debet, maximeque si discissa auris ima est vel imus nasus vel frons vel bucca vel palpebra vel B labrum vel circa guttur cutis vel venter. Si vero in carne vulnus est hiatque neque in unimi orae facile adtrahuntur, sutura quidem aliena est inponendae vero fibulae sunt (ancteras Graeci nominant), quae :

"

Because this exposes the depth of the wound and permits

of discharge

8«

and

of application.

sucked out by cupping,

*

i.e.

"

See vol.

II.

cf. vol. I.

Introduction, p.

166.

Ixi, fibula.

BOOK

V. 26. 22-23 B

Against bleeding there is help in the foregoing measures, but against inflammation it lies simply in the bleeding itself. Inflammation is to be feared when a bone is injured or sinew or cartilage or muscle, or whenever there is little outflow of blood compared to the wound. Therefore, in such cases, it will not be desirable to suppress the bleeding early, but to let blood flow as long as it is safe so that if there seems too little bleeding, blood should be let from the arm as well, at any rate when the patient is young and robust and used to exercise, and much more so when a drinking bout has preceded the wound. But if a muscle is seen to be wounded, it will be best to cut it right through for when stabbed it causes death, when cut through it admits of cure." Now, when bleeding has been suppressed if excessive, or encouraged when not enough has escaped of itself, then by far the best thing is for the wound to become agglutinated. But this is possible for a wound in the skin, or even in the flesh, if nothing else has occurred to do it harm. Ag;

;

''

is possible if flesh is hanging free at one part, whilst attached at another, provided, however, that the flesh is still sound, and has a connexion with the body to feed it. But with wounds which are being agglutinated, there are two treatments. For if the wound is in a soft part, it should be stitched up, and particularly when the

glutination

cut is in the tip of the ear or the point of the nose or forehead or cheek or eyelid or lip or the skin over the throat or abdomen. But if the wound is in the flesh, and gapes, and its margins are not easily drawn together, then stitching is unsuitable; fibulae"^ (the Greeks call them ancteres) are then to be

83

CELSUS oras,

paululum tamen, contrahunt, quo minus

postea cicatrix

quoque, quod

D

Ex

his

autem

lata

colligi potest, id

dependens alia inhaerebit, est, suturam an fibulam postulet. Ex quibus neutra ante debet imponi, quam intus volnus purgatum est, ne quid ibi concreti sanguinis relinquatur. Id enim et in pus vertitur, et inflammationem movet, et glutinari volnus prohibet. Ne linamentum quidem, quod subprimendi sanguinis causa inditum est, ibi relinquendum est: nam id quoque inflammat. Conprehendi vero sutura vel fibula non cutem tantum sed etiam aliquid ex carne, ubi suberit haec, oportebit, quo valentius haereat neque cutem abrumpat. Utraque optima est ex acia molli non nimis torta, quo mitius corpori insidat, utraque neque nimis rara neque nimis crebra inicienda est. Si nimis rara est, non continet si nimis crebra est, vehementer adficit, quia quo saepius acus corpus transuit quoque plura loca iniectum vinculum mordet, eo maiores inflammationes oriuntur magisque aestate. Neutra etiam vim ullam desiderat, sed eatenus utilis est, qua cutis ducentem quasi sua sponte subsequitur. Fere tamen fibulae si

C

sit.

alia parte

alienatum adhuc non

;

latius vulnus esse patiuntur, sutura oras iungit, quae ne ipsae quidem inter se contingere ex toto debent, ut, si quid intus umoris concreverit, sit qua emanet.

E

Si

quod vulnus neutrum horum recipit, id tamen Deinde omni vulneri primo inpo-

purgari debet.

84

BOOK

V. 26. 23 B-E

draw together the margins to some extent and so render the subsequent scar less broad. Now from the above it can be gathered also whether flesh which is hanging free at one part and attached at another, if it is still capable of juncture, demands suture or fibula. But neither of these should be inserted until the interior of the wound has been cleansed, lest some blood-clot be left in it. For blood clot turns into pus, and excites inflammation, and prevents agglutination of the wound. Not even lint which has been inserted to arrest bleeding should be left in, for this also inflames the wound. The suture or fibula should take up, not only skin but also some of the underlying flesh, where there is any, that it may hold more firmly, and not tear through the skin. And both are best used with a strand of a soft wool not too closely twisted that it may cause less irritation to the body, and both should be inserted at intervals not too distant or too close. For if the intervals are too distant, the wound is not held together if too close, it is very hurtful, for the more often the needle transfixes the tissues, and the more places are wounded by the inserted stitches, the worse is the inflammation set up, especially in summer. Neither procedure needs any force, but is useful just so far as the skin follows that which draws it as if of its own accord. Generally, however, fibulae leave the wound wider open, a suture joins the margins together, but these should not be brought actually into contact throughout the whole length of the wound, in order that there may be an outlet for any humour collecting within. If any wound admits of neither of these, it should none the less be cleaned. Hence, upon every inserted, which

;

85

:

CELSUS nenda

ex aceto expressa: si sustinere vim non potest, vino utenduin est. Levis plaga iuvatur etiam, si ex aqua frigida expressa spongia inponitur. Sed ea quoeumque modo inposita est, dum madet, prodest; itaque ut inarescat, non F est committendum. Licetque sine peregrinis et conquisitis et compositis medicamentis vulnus curare. Sed si quis huic parmn confidit, imponere medicamentum debet, quod sine sebo compositum sit ex iis, quae cruentis vulneribus apta esse proposui (19, 1) est spongia

aliquis

aceti

maximeque,

si

caro est, barbarum

;

si

nervi

vel

cartilago vel aliquid ex eminentibus, quales aures

sphragidem Alexandrinum idoneum est; eminentibusque quam Graeci rhaptusam vocant. Solet

vel labra sunt, Polyidi

quoque

G

partibus ea,

etiam

colliso

ubi incidit,

corpore exigua parte findi cutis.

non alienum

expedit.

Ubi

imponendum

diductum

satis

At

Quod

est scalpello latius aperire,

musculi nervique iuxta sunt;

nisi

H

:

viride nervis

est,

quos incidi non

medicamentum

quod collisum est, quamvis parvun diductum est, latius tamen aperiri propter nervos aut musculos non licet, adhibenda sunt ea, quae umorem leniter extrahant, praecipueque ex his id, quod rhypodes vocari proposui (19, 15). Non alienum est etiam, ubicumque vulnus grave est, imposito quo id iuvetur, insuper circumdare lanam sucidam ex aceto et oleo vel cataplasma, si mollis is est.

si

id,

;

86

"

V. 19.

'

V. 19. 17.

1.

» '

V, 19. V. 19.

1 B.

6.

«

V. 20. 2.

BOOK

V. 26. 23 E-H

wound there

is to be applied, first a sponge squeezed out of vinegar or out of wine if the patient cannot bear the strength of vinegar. A shght wound is even benefited if a sponge is applied wrung out of cold water. But in whatever way it is put on, it is only of service whilst moist and so it must not be allowed to become dry. And a wound can be treated without foreign and far-fetched and complicated medicaments. But if any one has not confidence in this treatment, a medicament should be put on, which has no suet in its composition, chosen from those which I have stated to be suitable for bleeding wounds " and especially, if it is a flesh wound, the composition called barbarum if a wound of sinews or of cartilage or of some projecting part, such as the ears or hps, the seal of Polyides:"^ the green composition called Alexandrian is also suitable for sinews ; and that which the Greeks call rhaptousa * for parts which project. When the body is bruised it is usual also for the skin to be broken to a small extent. When this occurs, it is not improper to lay it open more widely with a scalpel, unless there are muscles and sinews near, as it is inexpedient to cut into these. When it has been sufficiently opened, a medicament is to be put on. But if the skin over the contusion, although broken too little, yet must not be laid open more widely on account of sinews or muscles, then such applications should be made as gently extract humour, especially that which I have said is called rhypodes./ It is also not inappropriate, when the wound is severe, after putting on what is beneficial, to lay on over this, wool saturated with vinegar and oil ; or a poultice, ;

;

:

; ''

<*

/ V. 19. 16.

87

: ;

CELSUS locus est,

quod

leniter reprimat

;

si

nervosus aut

musculosus, quod emoUiat. Fascia vero ad vulnus deligandum lintea aptissima

24

eaque lata esse debet, ut semel iniecta non vulnus sed paululum utrimque etiam oras eius conprehendat. Si ab altera parte caro magis recessit, ab ea melius adtrahitur si aeque ab utraque, transversa conprehendere oras debet aut si id vulneris ratio non patitur, media primum inicienda B est, ut turn in utramque partem ducatur. Sic autem deliganda est, ut et contineat neque adstringat. Quod non continetur, elabitur: quod nimis adstricest

tantiun

;

;

tum

est,

cancro

periclitabitur.

Hieme

saepius

fascia circumire debet, aestate quotiens necesse est

turn

extrema pars eius

nam nodus

inferioribus acu

ulcus laedit, nisi

adsuenda est

tamen longe

est.

C

lUo neminem decipi decet, ut propriam viscerum curationem requirat de quibus supra (IV. 14 seqq.) posui. Nam plaga ipsa curanda extrinsecus vel sutura vel alio medicinae genere est in visceribus nihil movendum est, nisi ut, si quid ex iocinere aut liene aut pulmone dumtaxat extremo dependet, praecidatur. Alioqui volnus interius ea victus ratio eaque medicamenta sanabunt, quae cuique visceri con venire superiore libro (IV. 14 seqq.) posui. 26 His ita primo die ordinatis, homo lecto conlo:

:

• »

88

VIII. 10. 1 F. Hippocrates III. 105 (Fractures IV.). V. 26. 8-19 ; for viscera see vol. I. p. 356. IV. 14.-17.-V. 23. 1 A, 25. 6, 7.

BOOK

V. 26. 23 H-25

gently repressant if to a soft part ; or emollient to a part where there are sinews or muscles. The bandage too for binding up a wound is best made of linen, and it should be so wide as to cover in a single turn, not the wound alone but somewhat of its edges on either side. If the flesh has receded more from one edge, the traction is better made from that side. If equally from both, the bandage, put crosswise, should press the margins together; or if the character of the wound does not admit of that, the middle of the bandage is to be applied first, so that it may then be drawn to either side." Moreover, the wound is to be bandaged so that it is held together, yet not constricted. When it is not so held, it gapes; if it is constricted too much, there is a risk of canker. In winter there should be more turns of the bandage, in summer just those necessary finally, the end of the bandage is to be stitched by means of a needle to the deeper turns for a knot hurts the wound, unless, indeed, it is at a distance from it. On the following point no practitioner should be ignorant so that he has to enquire as to the special treatment required for the internal organs, which I have spoken of above. For whilst an external wound is to be treated either by suture, or by some sort of medicine ; in the case of the internal organs, nothing is to be moved, unless it be to cut away some bit of liver or spleen or lung which hangs ;

;

*"

Otherwise internal wounds will be cured by the regulation of diet, and by those medicaments which I have stated in the preceding book to suit each outside.

individual organ.*" So then, after this has been done on the

first

day,

89

CELSUS candus est;

quantum debet:

isque,

si

neque

est, abstinere,

inflammationem cibo

aquam calidam;

bibere, donee sitim finiat,

neque dolor est, etiam frigidam. Adeo tamen nihil perpetuum est, sed semper pro vi corporis aestimandum, ut inbecillitas etiam cibum protinus facere necessarium possit, tenuem scilicet et exiguum, qui tantum sustineat; multique etiam ex profluvio sanguinis intermorientes ante ullam curationem vino reficiendi sunt, quod vel, si aestas est ac

B

grave vulnus

vires patiuntur, ante

febris

alioqui inimicissimimi vulneri est.

Nimis vero intiunescere vulnus periculosum

26

intumescere periculosissimum est est

magnae

Protinusque,

mens homini

consistit, si nulla febris

mature vulnus sanum

ne febris quidem terrere debet, inflammatio

quae vel

levi

nihil

;

indicium

illud

inflammationis, hoc emortui corporis. si

accessit, scire licet

dum

:

est,

permanet.

si

in

Ac

fore.

magno

vulnere,

Ilia perniciosa est,

vulneri supervenit, vel ultra

inflammationis durat, vel delirium movet

;

tempus vel,

si

nervorum rigor aut distentio, quae ex vulnere orta B est, eam non finit. Vomitus quoque bilis non voluntarius, vel protinus ut percussus est aliquis, vel

malum signum est in iis dumtaxat, quorum vel nervi, vel etiam nervosi loci vulnerati sunt. Sponte tamen vomere non alienum est, praecipue iis, quibus in consuetudine fuit sed neque protinus post cibiun, neque iam inflammatione diun inflammatio manet,

:

90

:

BOOK

V. 26. 25-26 B

the patient is to be put to bed; if the wound is severe, before inflammation sets in, he should abstain from food, as far as his strength permits he should drink warm water until his thirst is quenched; or, if it is summer and he has neither fever nor pain, even cold water. There is, however, in this no standing order, for always account has to be taken of the bodily strength, since weakness may render it necessary for him to take food even from the first, light of course and scanty, just enough to sustain him and many who are actually fainting from loss of blood must, before any treatment, be resuscitated by wine, which in other cases is most inimical to a wound. It is dangerous when a wound swells overmuch; no swelling at all is the worst danger the former is an indication of severe inflammation ; the latter that the part is dead. And from the first if the ;

:

patient retains his senses, if no fever follows, we may recognize that the wound will soon heal. And even fever should not cause alarm in the case of a large wound, if it persists whilst there is inflammation. That fever is harmful which either supervenes upon a shght wound, or lasts beyond the inflammatory period, or excites delirium; or which does not put an end to the rigor or spasm of sinews which has originated from the wound. Also involimtary bilious vomiting either immediately after the injury, or during the inflammatory period, is a bad sign only when sinews or even the neighbourhood of sinews have been wounded. The induction of a vomit, however, is not inappropriate, especially in those habituated to it; provided that this is not done immediately after food, or just when inflammation has arisen, or 91

CELSUS orta,

cum

neqiie

superioribus

in

plaga

partibus

est.

27

Biduo sic vulnere habito, tertio die id aperiundum, detergendaque sanies ex aqua frigida est, eademque rursus inicienda. Quinto iam die, quanta inflammatio futura est, se ostendit. Quo die rursus detecto vulnere considerandus color est. Qui si lividus aut pallidus aut varius aut niger est, scire

malum vulnus esse idque quandocumque animadversum est, terrere nos potest. Album aut rubicundum esse ulcus commodissimum est item B cutis dura, crassa, dolens periculum ostendit. Bona licet

;

:

signa sunt, ubi haec sine dolore tenuis et mollis est. Sed si glutinatur vulnus aut leviter intumuit, eadem sunt inponenda, quae primo fuerunt si gravis :

C

inflammatio est neque glutinandi spes est, ea, quae pus moveant. lamque aquae quoque calidae necessarius usus est, ut et materiam digerat et duritiam emolliat et pus citet. Ea sic temperanda est, ut manu contingenti iucunda sit, usque adeo adhibenda, donee aliquid ex tumore minuisse coloremque ulceri magis naturalem reddidisse videatiu*. Post id fomentum, si late plaga non patet, inponi protinus emplastrum debet, maximeque si grande vulnus est,

tetrapharmacum

;

in

si

articulis, digitis, locis

rhypodes et si latius hiat, idem illud emplastrum liquari ex irino unguento oportet eoque inlita linamenta disponi per plagam deinde emplastrum supra dari, et super id sucidam lanam. cartilaginosis,

:

;

•

92

V. 19.

9.

V. 19. 15.

BOOK when the wound

is

V. 26. 26 B-27 c

situated in the upper part of the

body.

When the wound has been so treated for two days, on the third it should be uncovered, sanies washed away with cold water, and then the same dressing applied again. By the fifth day the extent of inflammation in prospect is apparent. And on that day, when the wound has been uncovered again, its colour must be considered. If it is livid or palUd or patchy or dusky, it can be recognized that the wound is a bad one, and whenever this is observed, it should alarm us. It is best for the wound to be white or rubicund; also if the skin is hardened, thickened, or painful, danger is indicated. Good signs are for the skin to be thin and soft without pain. But if the wound is agglutinating or swollen slightly, the same dressings as at first are to be applied if there is severe inflammation and no hope of agglutination, then such apphcations are to be made as promote suppuration. And now the use of hot water as well is a necessity, in order to disperse diseased matter and to soften hardening and bring out pus. The temperature of the water must be pleasant to the hand when put into it, and the affusion is to be continued until the swelling is seen to have diminished and a more natural colour to have returned to the wound. After this fomentation, if the wound is not gaping widely, a plaster should be put on at once, particularly the tetrapharmacum if it is a large wound;" in the case of wounds of joints, fingers, cartilaginous places, the plaster rhypodes ^ if the wound gapes more widely, that same plaster should be liquefied by iris unguent, and lint smeared with this laid all over the wound upon this put the plaster, and above that greasy wool. ;

;

;

93 VOL.

II.

F

;

CELSUS Minusque etiam quam primo

fasciae adstringendae

sunt.

quaedam

Proprie

28

quibus,

si

praecisi

in

articulis

nervi

sunt,

debilitas eius partis sequitur.

ex acuto telo plaga

visenda qui

Si id

sunt,

in

continebant,

dubium

est, et

ea transversa commodior est si retuso et gravi, nullum in figura discrimen est. Sed videndxun est, pus supra articulum an infra nascatur. Si sub eo nascitur albumque et crassum est,

nervum praecisum credibile est, magisque maiores dolores inflammationesque et quo maturius excitatae sunt. Quamvis autem non diu

fertxir,

quo li

nervus est, tamen si circa tumor durus permanet, necesse est et diuturnum ulcus esse et sano quoque eo tumorem permanere; futurumque est ut tarde membrum id vel extendatur vel contrahatur. Maior tamen in extendendo abscisus

diu

mora

est, ubi recurvato curatio adhibita est, quam in recurvando eo, quod rectimi continuerimus. Con-

quoque membrum quod ictum est ratione certa Si glutinandum est, ut superius sit: si in inflammationibus est, ut in neutram partem inclinatum sit: si iam pus profluit, ut devexum sit. locari

C

debet.

Optimum etiam medicamentum ambulare

nisi

quies est

sanis alienum est.

periculosum, qui in capite

vel

brachiis

D

convenit

laborante.

Locus,

94

femine in

quo

aut

moveri,

crure

cubabit.

quam

is

qui

Minimeque

in inferioribus partibus vulnerati sunt.

ambulatio

:

Minus tamen

aut

tepidus

pede esse

;

BOOK The bandages

V. 26. 27 B-28 D

are to be even less tight than at

first.

As

to joints, there are certain special points to as, if the controlling sinews have been divided, weakness of the part concerned follows. If this is in doubt, and the wound has been made by a sharp weapon, a transverse wound is the more

be noticed,

favourable if by a blunt and heavy weapon, the shape of the wound makes no difference. But it is to be observed whether pus is being formed above the joint or beneath. If it is produced underneath, and thick and white discharge continues for some time, it is probable that a sinew has been cut, and the more so the greater the pains and inflammation, and the earlier these occur. But even though no sinew is divided, yet, if a hard swelling persists for a long while round about, the wound will last a long time and even after healing a swelhng will persist and in future that limb will be bent or stretched out slowly. There is, however, more delay in extending a limb which has been kept bent while treated, than in bending a limb which has been kept straight. Also there should be a definite rule as to position for a limb which has been wounded. If the wound is to be agglutinated, the limb is kept raised; it must not be bent either way if there is still inflammation if pus is already being discharged it should be hanging down. The best medicament too is rest movement and walking before healing are adverse. The danger, however, from movement is less for wounds of the head and arms than for the lower limbs. Walking about is least of all suited to an injured thigh or leg or foot. The patient's room should be kept warm. ;

;

;

95

CELSUS Balneum quoque, dum parum vulnus purum est, inter res infestissimas est nam id et umidum et sordidum reddit, ex quibus ad cancrum debebit.

:

transitus

hibetur,

Levis

consuevit.

esse

sed

is

quae

partibus,

recte

frictio

ad-

absunt a

longius

vulnere.

Inflammatione finita vulnus purgandum est. Et optime faciunt tincta in melle linamenta, supraque

29 id

enneapharmacum dandum est. purum ulcus est, cum rubet, ac nimium neque siccum neque umidum est. At quodcumque sensu caret, quod non naturaliter sentit, quod nimium aut aridum aut umidum est, quod aut idem emplastrum

Tum demum

vel

vero

albidum aut pallidum aut lividum aut nigrum est, id purum non est. 30 Purgato, sequitur ut impleatur; iamque calida aqua eatenus necessaria est, ut sanies removeatur. Lanae sucidae supervacuus usus est: lota melius

Ad implendum autem vulnus proquidem etiam medicamenta aliqua itaque ea adhiberi non alienum est, ut buturum cum rosa et exigua mellis parte aut cum eadem rosa tetrapharmacum; aut ex rosa linamenta. Plus tamen proficit balneum rarum, cibi boni suci, vitatis omnibus nam et avis et venatio et acribus, sed iam pleniores

circumdatur. ficiunt

:

;

B

:

suilla elixa dari potest.

Vinum omnibus, dum

febris,

alienum est: itemque usque etiam, cicatricem, si nervi musculive vulnerati sunt si alte caro. At si plaga in summa cute generis inflanunatio

inest,

;

»

96

V. 19.

9, 10.

»

infra, par. 31 B.

•

V. 14.

BOOK

V. 26. 28 i>-3o B

Bathing, too, while the wound is not yet clean, is one of the worst things to do for this makes the wound both wet and dirty, and then there is a tendency for gangrene to occur. It is advantageous to apply light rubbing, but in those parts which are rather far away from the wound. When the inflammation has ended, the wound must be cleaned. And that is best done by putting on lint soaked in honey, and over it the plaster called tetrapharmacum or that called enneapharmacum." Then at length the wound is really clean when it is red, and neither too dry nor too moist. But a wound is not clean when it lacks sensation, when there is sensation which is not natural, when it is either too dry or too wet, when it is either whitish or pallid or livid or blackish.* When the wound is clean, there follows the growth of new flesh ; and now warm water is necessary The use of unin order to remove sanies. secured wool is superfluous; scoured wool is the But for filhng up a wound better wrapping. therefore certain medicaments also are useful is not inappropriate to make use of such it things as butter with rose-oil and a Uttle honey or the tetrapharmacum with the said rose-oil, or lint ;

;

"^

;

soaked in

rose-oil.

More

beneficial,

however,

is

an

occasional bath, a nourishing diet, while avoiding

everything acrid, but now somewhat fuller, for both poultry and venison and boiled pork can be given. In all cases, while fever and inflammation are present, wine is inappropriate also, until the scar is formed, if either sinews or muscles have been wounded; But when the or even if there is a deep flesh wound. wound is of the safer kind, only skin deep, wine if ;

97

CELSUS est, potest non pervetus, modice tamen datum, ad implendum quoque profieere. Si qiiid molliendum est, quod in nervosis locis musculosisque necessarium est, cerato quoque super vulnus utendum est. At si care supercrevit, modice reprimit siccum linamentum, vehementius squama aeris. Si plus est, quod tolli opus est, adhibenda simt etiamnum vehementiora, quae corpus exedunt. Cicatricem post omnia haec commode inducit Lycium ex passo aut lacte dilutum, vel etiam per se impositura siccum linamentum, Hie ordo felicis curationis est. Sed quaedam tamen periculosa incidere consuerunt: interdum

tutioris

C

31

enim vetustas ulcus occupat, induciturque

B

ei callus,

et circum orae crassae livent ; post quae quicquid medicamentorum ingeritur, parum proficit ; quod fere neglegenter curato ulceri supervenit. Interdiun vel ex nimia inflammatione, vel ob aestus inmodicos, vel ob nimia frigora, vel quia nimis vulnus adstrictum est, vel quia corpus aut senile aut mali habitus est, cancer occupat. Id genus a Graecis diductum in species est, nostris vocabulis

non

est.

Omnis autem cancer non solum occupavit, sed etiam serpit signis discernitur.

;

Nam modo

id corrumpit, quod deinde aliis aliisque super inflammationem

rubor ulcus ambit, isque cum dolore procedit (erysipelas Graeci nominant) modo ulcus nigrum est, quia caro eius corrupta est, idque vehementius etiam putrescendo intenditur ubi vulnus umidum ;

•

V. 6-8. For the diseases referred to in sections 31 B-34, see Appendix, pp. 589 ff. *

98

;

BOOK

V. 26. 30 B-31 B

not too old, given in moderation, can even aid the growth of flesh. If any part is to be softened, which is necessary in the region of sinews and muscles, cerate also is to be used upon the wound. But if flesh fungates, dry lint is a moderate repressant, copper scales a more active one. If more fungation needs to be removed the still more active corrosives are to be employed." After all such applications, lycium dissolved in raisin wine or in milk, or even only an application of dry lint, is useful in

inducing a scar. Such is the procedure of a successful treatment; dangerous complications, however, are wont to occur. Sometimes the wound becomes the seat of chronic ulceration, and it becomes hardened, and the thickened margins are a livid colour after which whatever medicament is applied is of Uttle service and this commonly occurs when the wound has been ;

treated. At times, whether owing to excess of inflammation, or to unusually hot weather, or to excessively cold weather, or because the wound has been bandaged too tightly, or on account of old age, or of a bad habit of body, canker sets in. The Greeks divided this genus into species for which there are no terms in our language. Now canker,* whatever its species, corrupts not only next it is the part it attacks, but it also spreads For sometimes a distinguished by differing signs. redness, over and above the inflammation, surrounds the wound, and this spreads with pain (the Greeks at times the wound is black term it erysipelas) because its flesh has become corrupted, and this is still more intensified by putrefaction when the wound is moist, and from the black wound is discharged a

carelessly

;

;

99

;

CELSUS est et

C

odoris

ex nigro ulcere umor pallidus fertur malique carunculaeque corruptae interdum [est] :

etiam nervi ac membranae resolvuntur, specillumque demissum descendit aut in latus aut deorsum, eoque

nonnumquam os quoque adficitur modo oritur quam Graeci gangrenam appellant. Priora in

vitio

ea,

;

hoc in prominentibus ungues et alas vel inguina,

qualibet parte corporis fiunt

membris, id

est, inter

:

fereque in senibus vel in is, quorum corpus mali habitus est. Caro in ulcere vel nigra vel livida est, proxumaque cutis plerumque sed sicca et arida deinde ei proxima vel subnigris pustulis impletur pallida vel livida, fereque rugosa, sine sensu est Omniaque ea inflammatione est. ulterior in simul serpunt; ulcus in locum pustulosum, pustulae in eum, qui pallet aut livet, pallor aut livor in id, quod inflammatum est, inflammatio in id, quod integrum est, transit. Inter haec deinde febris quibusdam etiam acuta oritur ingensque sitis delirium alii, quamvis mentis suae compotes sunt, balbutiendo tamen vix sensus suos explicant incipit ;

;

D

E

:

:

;

Atque foedi spiritus ipse odoris. ubi initium quidem eius mali recipit curationem vero penitus insedit, insanabile est ; plurimique sub frigido sudore moriuntur. Ac pericula quidem vulnerum haec sunt. Vetus

adfici

stomachus

;

fit

:

.S2

autem daeque

ulcus scalpello concidendum est, excideneius orae, et, quicquid super eas livet, aeque incidendum. Si varicula intus est, quae id sanari Deinde, ubi sanguis prohibet, ea quoque excidenda.

» For varicula cf. II. 7. 28. This condition would now be termed "wound aneurism" and is sometimes met with in war wounds.

lOO

BOOK

V. 26. 31 B-32.

I

humour, which has a

foul odour, and the at times also sinews and membranes undergo dissolution, and when a probe is introduced it passes to the side or downwards, and this lesion not infrequently affects the bone too; pallid

granulations break

down

:

sometimes there arises what the Greeks call gangrene. The former varieties occur in any part of the body; gangrene in the extremities, that is, in the nails, armpits or groins, and generally in aged people or in those of a bad habit of body. The flesh in the wound becomes either black or Uvid, but dry and shrivelled; the skin near it is for the most part occupied by dusky pustules; then the skin around these becomes either pallid or livid, and usually

wrinkled,

sensation: farther skin is inflamed. All these things spread simultaneously, the ulceration into the pustules, the pustules into the pallid or livid part, that into the inflamed part, and that again into the sound flesh. Now together with the deficient

in

away from the wound the

above an acute fever arises and great thirst: in also delirium: others, although in their right minds, nevertheless stammer so that they can scarcely explain their feelings; the stomach begins to be affected: even the breath gets a foul odour. This disorder at its commencement admits of treatment but when thoroughly estabhshed it is incurable, and most patients die in a cold sweat. And such are the dangers following upon wounds. Now a wound when of long standing should be cut with a scalpel, its margins excised, and incisions made at the same time into any livid area surrounding

some

;

the margins.

If there is a small varix <* inside the healing, it also is to be excised.

wound which hinders

lOI

;

CELSUS emissus novatumque vulnus est, eadem curatio adhibenda, quae in recentibus vulneribus (§ 23 A) exposita est.

Si scalpello aliquis uti non vult, potest sanare id emplastrum, quod ex ladano fit, et cum ulcus sub eo exesum est, id, quo cicatrix inducitur.

33

Id autem, quod erysipelas vocari dixi (§ 31 B), non solum vulneri supervenire sed sine hoc quoque oriri

consuevit,

adfert, utique

si

—Oportet,

atque interdum periculum maius circa cervices aut caput constitit.

si vires patiuntur, sanguinem mittere deinde imponere simul reprimentia et refrigerantia, maximeque cerussam solani suco, aut Cimoliam cretam aqua pluviali exceptam aut ex eadem aqua ;

B

subactam farinam cupresso adiecta aut, si tenerius corpus est, lenticulam. Quicquid inpositum est, betae folio contegendum et super linteolum frigida aqua madens inponendimi. Si per se refrigerantia parum proderunt, miscenda erunt hoc modo sul:

puris

XII

P.

^

I

cerussae,

;

croci

singulorum

P.

^

eaque cum vino conterenda sunt, et id his inlinendum aut si durior locus est, solani folia contrita suillae adipi miscenda sunt et inlita linteolo S.

;

:

superinicienda.

C

At si

nigrities est

nequedum serpit,imponenda sunt,

quae carnem putrem lenius edunt, repurgatumque ulcus sic ut cetera nutriendum est. Si magis putre est, iamque procedit ac serpit, opus est vehementius erodentibus. Si ne haec quidem evincunt, aduri •

I02

V. 19. 18.

BOOK

V. 26. 32. 1-33 c

Then when the blood has been let out and the wound made like a new one, the same treatment is to be adopted as that described for recent wounds. If any one does not want to use the scalpel, healing may be secured by using the plaster made up with ladanum," and, when that has eaten away the ulcer, by the one which induces a scar.'' But what I have said is called erysipelas, not only follows upon a wound, but is wont also to arise without a wound, and sometimes brings with it some danger, especially when it sets in about the neck or head. If strength permits, blood should be let; then repressives and refrigerants applied together, particularly white-lead with nightshade juice, or Cimolian chalk with rain-water as an excipient or flour made into a paste with the same, with Cyprus shoots added, or lentil meal if the skin is more deUcate. Whatever is put on is to be covered over with beet leaves, and over that with Unt wetted with cold water. If refrigerants by themselves have Httle effect, they are to be combined with the following: sulphur 4 grms., white-lead and saffron, 50 grms. each; and these are pounded up with wine and the place smeared with them: or when the skin is more hardened, nightshade leaves are pounded, mixed with lard, and applied spread on Hnt. But if there is a blackening which is not yet ;

spreading, the milder corrosives of putrid flesh are to be put on, and the wound having been thus cleaned out, is cared for hke other wounds. If there is more corruption, and it is already spreading, stronger corrosives are needed. If even these are not effective, *

V. 14.

;

19.

21-28.

103

;

CELSUS umor

locus debet, donee ex eo nullus

D

quod sanum

est,

siccum

ustionem putris ulceris

feratui'

nam

:

cum

aduritur. superponenda sunt, est,

Post

quae

a vivo resolvant eas escharas Graeci nominant. Ubi eae exciderunt, purgandum ulcus maxime melle et reslna est sed aliis quoque purgari potest, qulbus purulenta curantur eodemque modo ad sanitatem perducendum est. 34 Gangrenam vero, si nondum plane tenet, sed adhuc incipit, cm-are nOn difficillimum est, utique in corpore iuvenili et magis etiam si musculi integri sunt, si nervi vel laesi non sunt vel leviter adfecti sunt, neque ullus magnus articulus nudatus est, aut carnis in eo loco paulum est, ideoque non multum, quod putresceret, fuit, consistitque eo loco vitium; B quod maxime fieri in digito potest. In eiusmodi casu primum est, si vires patiuntur, sanguinem mittere deinde quicquid aridum est et intentione quadam proximum quoque locum male habet, usque eo [sanum corpus] concidere. Medicamenta vero, dum malum serpit, adhibenda nulla sunt, quae pus movere consuerunt ideoque ne aqua quidem calida. Gravia quoque, quamvis reprimentia, aliena sunt sed his quam levissLmis opus est superque ea, quae crustas

:

:

;

;

—

;

;

;

C

inflanamata sunt,

utendmn

est refrigerantibus.

Si

magis malum constitit, uri, quod est inter integrum ac vitiatum locum, debet praecipueque in hoc casu petendum non a medicamentis solum sed etiam a victus ratione praesidiiun est neque enim id malum nisi corrupti vitiosique corporis est. Ergo nihilo

:

:

primo,

nisi inbecillitas

«

104

V.

9.

prohibet, abstinentia

*

V. 5.

utendum

;

BOOK

V. 26. ss c-34 c

the place should be burnt by a cautery until no more for sound flesh is dry when it is burnt. After the cauterizing of a putrid wound, such drugs are to be apphed as will loosen from the living flesh the crusts " which the Greeks call eschara. When these have fallen off, the wound is to be cleaned by honey and resin in particular but it can also be cleaned by the other materials with which suppurating wounds are treated'' and in the same way

humour escapes from it

;

;

brought to healing. But gangrene, when not yet widespread, but only beginning, is not very difficult to cure, at any rate in a young subject; and even more so if muscles are intact, sinews uninjured or but slightly affected, and no large joint opened, or if there is little flesh in the part, and so not much to putrefy, and if the lesion is limited to one place and this mostly happens in a finger. In such a case the first thing to be done, when strength permits, is to let blood; then whatever has become dry, and by stretching out, as it were, is injuring also what is next to it, is cut away up to this point [the sound tissue]. Whilst the gangrene is spreading, medicaments which tend to promote suppuration are not to be apphed and therefore not even hot water. Weighty dressings also, although repressant, are unsuitable; but the lightest are needed; and over the parts which are inflamed refrigerants are to be used. If the malady is still not checked, the part between what is sound and diseased ought to be cauterized and in such a case especially assistance is to be sought, not only from medicaments, but also from a system of diet ;

;

;

for this

malady only occurs

body.

Therefore at

first,

in a corrupt and diseased unless weakness prohibits

105

;

CELSUS

D

deinde danda quae per cibum potionemque alvum ideoque etiam corpus adstringant, sed ea levia. Postea si vitium constitit, inponi super vulnus eadem debent, quae in putri ulcere praescripta sunt (§ 33 C). Ac turn quoque ut plenioribus cibis uti licebit ex media materia, sic tamen non nisi alvum corpusque siccantibus ; aqua vero pluvia[ti]li frigida. Balneum, nisi iam certa fiducia redditae sanitatis est, alienum siquidem emollitmn in eo vulnus cito rursus est eodem malo adficitur. Solent vero nonnumquam :

omnia auxilia

minus serpere quae, miserum sed unicum auxilium est, ut cetera pars corporis tuta sit, membrum, quod paulatim emoritur, abscidere. 35 Hae gravissimorum vulneriun curationes sunt. Sed ne ilia quidem neglegenda, ubi integra cute interior pars conlisa est; aut ubi derasum adtritumve aliquid est; aut ubi surculus corpori infixus aut ubi tenue sed altum vulnus insedit. est In primo casu commodissimum est malicorium ex vino coquere, interioremque eius partem conterere et cerato miscere ex rosa facto, idque superponere deinde, ubi cutis ipsa exasperata est, inducere lene medicamentum, quale lipara est. B Derasso vero detritoque imponendum est emplastrum tetrapharmacum, minuendusque cibus et vinum subtrahendum. Neque id, quia non habebit siquidem ex altiores ictus, contemnendum erit: nihil is

cancer.

proficere ac nihilo

Inter

;

•

VII. 33. '

io6

*

VII.

1.

Xinapd, a greasy ointment,

cf.

« VII. 2-5. V. 19. 25.

BOOK

V. 26. 34 c-35 B

the patient should fast after that he should be given light food and drink to tone up the bowels, and so also the body in general. Later if the lesion has been checked, the same things should be put on the wound which were prescribed for putrid ulceration. And it is now also permissible to make use of a fuller diet foods of the middle class, but only such as dry up the bowels and the body generally and cold rain-water to drink. The bath is harmful until it is quite certain that soundness has returned for a wound, if softened in the bath, is quickly again affected by the same malady. But it still happens sometimes that none of these remedies is effectual, and in spite of everything this canker spreads. In such circumstances there is one sad but solitary remedy to secure the safety of the rest of the body, that is to cut away the limb which is gradually dying." Such are the treatments of the gravest wounds. But there should be no neglect of those in which the skin is intact, but some inner part has been contused or where something has been scraped or rubbed off:* or where a splinter has become fixed in the body, or where the wound is small but deep." In the first case the best thing is to cook the rind of a pomegranate in wine, and pound up its interior and mix with rose-oil cerate, and so apply it: next, when the skin has been actually abraded, to lay on a soothing medicament such as lipara."^ When the skin has been scraped and rubbed off, the plaster tetrapharmacum is to be applied, the food reduced and wine withdrawn. Such wounds are not to be disregarded because deeper structures are uninjured; for often from injuries of this kind it,

;

—

;

;

;

107

;

CELSUS eiusmodi casibus saepe cancri fiunt. Quod si levius id erit et in parte exigua, contenti esse poterimus

eodem

leni medicamento. Surculum vero, si fieri potest, oportet vel manu Si vel praefractus est vel etiam ferramento eicere.

vel

altius

descendit,

C medicamento

quam

ut id ita

fieri

possit,

Optume autem

educit superinposita harundinis radix, si tenera est, protinus decocta contrita si iam durior, ante in mulso

evocandus

est.

;

cui

semper mel adiciendum

est aut aristolochia

cum

Pessima ex surculis harundo est, eademque offensa etiam in filice quia aspera est Sed usu cognitum est utramque adversus est. alteram medicamentum esse, si contrita superinFacit autem idem in omnibus surculis, posita est. quodcumque medicamentum extrahendi vim habet. Idem altis tenuibusque vulneribus aptissimum est. Priori rei Philocratis, huic Hecataei emplastrum

eodem

melle.

:

maxime 36

convenit. in quolibet vulnere ventum ad inducendam cicatricem est, quod perpurgatis iam repletisque ulceribus necessarium est, primum ex aqua frigida linamentum, dum caro alitur; deinde iam,

Ubi vero

cum

continenda

est,

siccum imponendum

est,

donee

Tum deligari super album inducatur. plumbum oportet quo et reprimitur cicatrix et colorem maxime corpori sano similem accipit. Idem radix silvestris cucumeris praestat, idem spumae I elateri P. compositio, quae habet

cicatrix

B

:

^

;

• Cf. p. 39. *

It

is

not certain what this was. Perhaps

candidum= tinstone, a common

plumbum album

ingredient of nail polishes. White lead (basic lead acetate) was called by Celsus cerussa (Gk. i/nnvdiov). See vol. II., Introduction, p. xlviii, plumbum.

or

T08

BOOK

V. 26. 35 B-36 B

But if the hurt is trifling, and of small extent, we may be content with the same soothing application. A splinter too, whenever possible, should be extracted either by the hand or even by the help of an instrument. But if the splinter has been broken off or has penetrated too deeply for this to be done, it must be drawn towards the surface by a medicament. The best thing to draw it out is an application of pole-reed root pounded up straight away if soft, but if already rather hard, boiled first in honey wine to which honey should always be added, or birthwort also with honey. Of splinters the pole-reed is the worst because it is rough there is the same harmfulness in fern. But by experience it has been learnt that either, when pounded up and applied, serves as a medicament against the other. Any medicament which has an extractive property has the same effect on splinters of all kinds. The same treatment is best for deep and narrow wounds. The plaster of Philocrates is especially good for the former, that of Hecataeus for the latter." Whatever the kind of wound, when the time has come for inducing the scar, which must be after the wound has cleaned and filled with new flesh, first lint is applied, wetted by cold water while the flesh is being nourished; afterwards, when it has to be checked, dry lint must be applied until the scar is induced. Then plumbum album * should be bandaged on in order to keep down the scar, and to give it a colour as much as possible like sound skin. Wild cucumber root has the same property, so has the prescription containing elaterium 4 grms., litharge canker develops.

;

;

:

"

A preparation made from

•=

the juice of wild cucumber.

109

;

CELSUS

^

C

^

argenti P. II unguenti pondo IIII. Quae excipiuntur resina terebenthina, donee emplastri crassitude ex omnibus fiat. Ac nigras quoque cicatrices leniter purgant paribus portionibus mixta aerugo, plumbum elotum, eademque rosa coacta; sive unguitur cicatrix, quod in facie fieri potest sive id ut emplastrum inponitur, quod in aliis partibus commodius est. At si vel excrevit cicatrix vel concava est, stultum est decoris causa rursus et dolorem et medicinam sustinere. Alioqui res utrique succurri patitur, siquidem utraque cicatrix exulcerari ;

Si medicamentum aliquis mavult, compositiones eae, quae corpus exedunt. Cute exulcerata super eminentem carnem exedentia medicamenta coicienda sunt, super concavam implentia, donee utrumque ulcus sanae cuti aequetur; et tum cicatrix inducatur. 27. Dixi de iis vulneribus, quae maxime per tela inferuntur. Sequitur, ut de iis dicam, quae morsu fiunt, interdum hominis, interdimti simiae, saepe canis, nonnumquam ferorum animalium aut serpentium. Omnis autem fere morsus habet quoddam virus itaque si vehemens vulnus est, cucurbitula admovenda est; si levius, protinus emplastriun Iniciendum, praecipueque Diogeni. Si id non est, quodlibet ex is, quae adversus morsus proposui (19, 20 seqq.) si ea non sunt, viride Alexandrinum si ne id quidem est, quodlibet non pingue ex iis, quae recentibus vulneribus accommodantur. Sal quoque his, praecipueque ei, quod canis fecit, medicamentum est, si manus vulneri inponitur

scalpello potest.

idem

efficiunt

:

B

:

:

"

is perhaps myrobalanon, cf. IV. 16. vol. II., Introduction, p. xxii, Balanos. • V. 19. 17. 20-22.

This ointment

I. p. 416), * V. 19.

and

4 (vol.

;

BOOK

V. 26. 36 B-27.

B

I

8 grms., unguent 16 grms." These are taken up the whole is of the consistency of a plaster. Further, equal parts of verdigris and washed lead mixed together with rose-oil gently clean black scars either the scar may be anointed, as can be done on the face or the above may be applied as a plaster, which is more convenient for other parts of the body. But if the scar is either elevated or depressed, it is foolish, just for the sake of appearance, to submit again to pain and medicinal applications. Else both conditions can be remedied, since either scar can be made into a wound by the use of a scalpel. Or if a medicament is preferred, corrosive compositions have the same effect. After the skin has been wounded, to an elevated cicatrix corrosives are applied, to a depressed one medicaments which make flesh, until the wound, in each case, is on a level with the sound skin and then the scar is induced. 27. I have spoken of those wounds which are mostly inflicted by weapons. next task is to speak of those which are caused by the bite, at times of a man, at times of an ape, often of a dog, not infrequently of wild animals or of snakes. For almost every bite has in it poison of some sort. Therefore if the wound is severe, a cup should be applied straightway over it ; if slighter a plaster, especially that of Diogenes. If that is not at hand, then one of the others I have recommended against bites failing such, the green plaster called Alexandrian;*' if not even that is to be had, then any one which suits recent wounds, so long as it is not greasy. Salt is also a remedy for bites, especially dog-bite, if a hand is then placed over the bite and struck by two in turpentine until

;

;

;

My

''

III

:

CELSUS id duobus digitis verberatur: exaniat ac salsamentum quoque recte super id vulnus

superque

enim

;

deligatur.

Utique autem

2

rabiosus canis

si

fuit,

cucurbitula

extrahendum est deinde si locus neque nervosus neque musculosus est, vulnus id adurendum est si uri non potest, sanguinem homini mitti non alienum est. Turn usto quidem vulneri superimponenda quae ceteris ustis sunt ei vero, quod expertum ignem non est, ea medicamenta, quae vehementer exedunt. Post quae nuUo novo magisterio, sed iam supra (26, 30, 36) posito ulcus erit B implendum et ad sanitatem perducendum. Quidam virus eius

;

:

:

canis morsum protinus in balineum ibique patiuntur desudare, dum vires corporis sinunt, ulcere adaperto, quo magis ex eo

post

rabiosi

mittunt

quoque

destillet; deinde multo meracoque quod omnibus venenis contrarium est. Idque cum ita per triduum factum est, tutus esse

virus

vino accipiunt,

homo

C

a periculo videtur. autem ex eo vulnere, ubi parum occursum est, aquae timor nasci (hydrophobas Graeci appellant), miserrimum genus morbi, in quo simul aeger Solet

aquae metu cruciatur quo oppressis in est. Sed unicum tamen remedium est, neque opinantem in piscinam non ante ei provisam proicere. Et si natandi scientiam non et

siti

et

;

angusto spes

habet, modo mersum bibere pati, modo attollere si habet, interdum depi*imere, ut invitus quoque aqua satietur sic enim simul et sitis et aquae metus :

•

112

V. 28. 30-36.

;

BOOK

V. 27.

T

B-2 c

hand for this brings out sanies and brine-pickle may also be appropriately bandaged upon such a wound. But especially if the dog was mad, the poison must be drawn out by a cup next, if the wound is not among sinews and muscles, it must be cauterized if it cannot be cauterized, it is not amiss to bleed the man. After cauterizing, applications are to be put on as for other burns if the wound is not cauterized, such medicaments as are powerful corrosives. After this the wound should be filled in and brought to healing, not by any new method, but as already described above." After the bite of a mad dog some send the patients at once to the bath, and there let fingers of the other

;

;

;

them sweat as much as their bodily strength allows, the wound being kept open in order that the poison

may drop

out freely from it ; then follows the administration of much wine, undiluted, which is an antidote to all poisons. And when this has been carried out for three days, the patient is deemed to be out of danger. But when too little has been done for such a wound, it usually give rise to a fear of water which the Greeks call hydrophobia, a most distressing disease, in which the patient is tortured simultaneously by thirst and by dread of water. In these cases there is very little hope for the sufferer. But still there is just one remedy, to throw the patient unawares into a water tank which he has not seen If he cannot swim, let him sink under and drink, then lift him out if he can swim, push him under at intervals so that he drinks his fill of water even against his will for so his thirst and dread of water are removed at the same time. Yet this

beforehand.

;

;

"3

CELSUS

D tollitur.

Sed aliud periculum excipit, ne infirmum corpus in aqua frigida vexatum nervorum distentio absumat. Id ne incidat, a piscina protinus in oleum calidum demittendus est. Antidotum autem praecipue id, quod primo loco (23, 1 B) posui, ubi id non est, aliud, si nondum aeger aquam horret, potui ex aqua dandum est; et si amaritudine ofFendit, mel adiciendum est: si iam is morbus occupavit, per catapotia sumi potest. Serpentium quoque morsus non nimium distantem 3 curationem desiderant, quamvis in ea multum antiqui variarunt, ut in singula anguium genera singula medendi genera praeciperent aliique alia: sed in omnibus eadem maxime proficiunt. Igitur in primis super vulnus id membrum deligandum est, non tamen nimium vehementer, ne torpeat deinde venenum extrahendum est. Id cucurbitula optume facit. Neque alienum est ante scalpello circa vulnus

— ;

quo plus vitiati iam sanguinis extrahatur. cucurbitula non est, quod tamen vix incidere potest, turn quodlibet simile vas, quod idem possit; si ne id quidem est, homo adhibendus est, qui id vulnus exsugat. Neque Hercules scientiam praecipuam habent ii, qui Psylli nominantur, sed auincidere,

B

Si

daciam usu ipso confirmatam.

C

Nam venenum

ser-

pentis, ut quaedam etiam venatoria venena, quibus Galli praecipue utuntur, non gustu, sed in vulnere nocent. Ideoque colubra ipsa tuto estur, ictus eius occidit

;

et

si

stupente ea, quod per quaedam medi-

For antidotes see V. 23.

1 B-3. African people celebrated as snake-charmers. Cf. Lucan IX. 893, gens unica terras; Incolit a saevo serpentum innoxia morsu / Marmaridae Psylli; and Suetonius, Aiig. 17.

"

''

114

An

;

BOOK

V. 27. 2 c-3 c

procedure incurs a further danger, that a spasm of sinews, provoked by the cold water, may carry off a Lest this should happen, he must be taken straight from the tank and plunged into a bath of hot oil. But as an antidote we should give especially the one which I put first," when that is not at hand, another it is to be given in a draught of water, if the patient does not dread water yet and if the bitterness is objected to, honey is to be added; if dread of water has already seized him, the antidote can be swallowed as a pill. Serpents' bites again need a not very different treatment, although in this the ancients had very various methods so that for each kind of snake some prescribed one special kind of remedy, some another but in all it is the same measures which are the most efficacious. Therefore first the limb is to be constricted above this kind of wound, but not too tightly, lest it become numbed; next, the poison is to be drawn out. A cup does this But it is not amiss beforehand to make best. incisions with a scalpel around the wound, in order that more of the vitiated blood may be extracted. If there is no cup at hand, although this can hardly happen, use any similar vessel which can do what you want; if there is not even this, a man must I declare there is no be got to suck the wound.

weakened body.

;

;

particular science in those people Psylli,*

who

are called

but a boldness confirmed by experience.

For

serpent's poison, like certain hunter's poisons, such as the Gauls in particular use, does no harm when

swallowed, but only in a wound. Hence the snake itself may be safely eaten, whilst its stroke kills

and

if

one

is

stupefied, which

mountebanks

effect

"5

CELSUS camenta circulatores faciunt, in os digitum quis indidit neque percussus est, nulla in ea saliva noxa est. Ergo quisquis exemplum Psylli secutus id vulnus exsuxerit, et ipse tutus erit et tutum hominem

D

praestabit. Illud [ne intereat] ante debebit adtendere, ne quod in gingivis palatove aliave parte oris ulcus habeat. Post haec is homo loco calido conlocandus est, sic ut id quod percussum erit, in inferiorem partem inclinetur. Si neque qui exsugat neque cucurbitula est, sorbere oportet ius anserinum vel ovillum vel vitulinum et vomere, vivum autem gallinacemn pullum per medium dividere et protinus calidum super volnus imponere, sic ut pars interior corpori iungatur. Facit id etiam haedus agnusve discissus, et calida eius caro statim super volnus .^ imposita. Emplastra quoque si qua supra (19, 20 seqq.) conprehensa sunt; aptissimumque est .

.

E

vel Ephesium vel id, quod ei subiectum est (19, 22). Praesensque in aliquo antidoto praesidium est si id non est, necessarium est exsorbere potionem meri :

cum

vini

pipere,

vel

quidlibet aliud quod calori intus coire patiatur : nam Omnia frigore interemit.

movendo est, ne umorem maxima pars venenorum

etiam urinam moventia, quia materiam extenuant, utilia sunt.

4

Haec adversus omnes ictus conmfiunia sunt. Usus tamen ipse docuit eum, quem aspis percussit, acetum Marx

suggests that the following words have fallen out after the sentence would then run, " plasters too, if the physician has any of them at hand, should be applied," etc. DaremJberg substitutes quae ^

si

qua <curanti praesto sunt adhibenda quae>

for

si

:

qua.

* The text as it stands cannot be translated, though the general sense is given.

ii6

BOOK

V. 27. 3C-4

by

certain medicaments, and if anyone puts his finger into its mouth and is not bitten, its saliva is harmless. Anyone, therefore, who follows the example

of the Psylli and sucks out the wound, will himself be safe, and will promote the safety of the patient. He must see to it, however, beforehand that he has no sore place on his gums or palate or other parts of the mouth. After the suction, the patient should be put into a warm room, in such a position that the part bitten is inclined downwards. If there is no one at hand to suck out the wound, or to cup it, the patient should sip goose or mutton or veal broth and provoke a vomit further a live chicken should be cut through the middle, and whilst warm applied forthwith over the wound so that its inner part is in contact with the patient's body. It will also do to slaughter a kid or lamb, and immediately to put the hot flesh upon the wound. The plasters also should be applied which have been mentioned above ;" the most suitable is the Ephesian plaster,'' or that noted next after it. There is ready help in one of the antidotes if none is at hand, it is necessary to take in sips a draught of strong wine with pepper, or anything else which will stir up heat, to prevent humour from coagulating internally ; for most poisons cause death by cold. All diuretics also are useful, because they dilute the diseased matter. Such are the general remedies against bites of any kind. Experience has taught, however, that anyone bitten by an asp " should in particular drink ;

;

* «

V. 19. 21. Coluber aspis.

Cleopatra's death

is

See Galen XIV. 235. His account of closely followed by Shakespeare.

"7

CELSUS potius bibere debere. Quod demonstrasse dicitur casus cuiusdam pueri, qui cum ab hac ictus esset et partim ob ipsxun volnus partim ob inmodicos aestus siti premeretur ac locis siccis alium umorem non reperiret, acetum, quod forte secum habebat, ebibit et liberatus est, credo, quoniam id, quamvis refrigerandi vim habet, tamen habet etiam dissu-

pandi quo fit, ut terra respersa eo spumet. Eadem ergo vi verisimile est spissescentem quoque intus umorem hominis ab eo discuti et sic dari sanitatem. 5 In quibusdam etiam aliis serpentibus quaedam auxilia certa satis nota sunt. Nam scorpio sibi ipse ;

Quidam conest. vino bibunt quidam eodem modo consuper volnus imponunt quidam super prunam eo imposito volnus sufFumigant, undique veste circumdata, ne is fumus dilabatur; turn carbonem eius super volnus deligant. Bibere autem oportet herbae Solaris, quam heliotropion Graeci vocant, semen vel certe folia ex vino. Super volnus vero etiam furfures ex aceto vel ruta silvatica recte pulcherrimum medicamentum tritum tritum

B

cum

:

:

imponitur vel cum melle sal tostus. Cognovi tamen medicos, qui a scorpione ictis nihil aliud quam ex bracchio sanguinem miserunt. 6

7

Et ad scorpionis autem et aranei ictima aliimi cum ruta recte miscentur, ex oleoque contritum superinponitur. At si cerastes aut dipsas aut haemorrhois percussit, • Cf. *

Pliny,

N.H. XXIII.

1.

27.

Coluber cerastes (/cepaanjj), the

homed

viper of

Aristotle, H.A. II. 1. Coluber vipera, called dipsas because its bite great thirst (Si'^a).

the

desert. "

''

n8

Haemorrhois

[alfioppots].

This snake

is

produced

unidentified

;

the

BOOK

V. 27. 4-7

The case of a certain boy is said to demonstrate this, for having been thus bitten, partly on account of the bite, and partly owing to excessively hot weather, he was tormented by thirst, and being in a dry place found no other fluid, so he drank the vinegar he chanced to have with him, and was saved. I believe this happened because although vinegar.

vinegar

has also the faculty of that earth sprinkled with Therefore it is likely that by the same it froths." faculty humour which is condensing inside a patient is dissipated by it, and so health is restored. There are also against certain other reptiles remedies which are well enough known. For the scorpion is itself the best remedy against itself. Some pound up a scorpion and swallow it in Avine ; some pound it up in the same way and put it upon the wound some put it upon a brazier and fumigate the wound -with it, putting a cloth all round to prevent the escape of the fumes, afterwards they bandage its ash upon the wound. The patient should also drink wine in which have been steeped the seeds, or at any rate the leaves, of the herba Solaris, which the Greeks call heliotropion. It is good also to apply to the wound bran soaked in vinegar, or wild rue, or roasted salt with honey. I have known, however, practitioners who merely let blood from the arm of those stung by a scorpion, that and nothing more. For the sting of a scorpion also, or for that of a spider, it is good to put on garlic mixed with rue is

dissipating.

a refrigerant,

Hence

it

it

is

;

and pounded up with oil. But when cerastes,* or dipsas,'' or haemorrhois blood of a man bitten by widely extravasated.

it lost its

coagulability

**

has

and became 119

CELSUS poli quod Aegyptiae fabae magnitudinem aequet, arfactum ut in duas potiones dividendum est, sic ut ei rutae paulum adiciatiir. Trifolium quoque et mentastrum et cum aceto panaces aeque proficiunt. Costumque et casia et cinnamomum recte per potionem adsiununtur.

Adversus chelydri vero ictum panaces aut

8

laser,

quod sit scrip. Ill S.^ [^I]j vel porri sucus cum hemina vini sumendus est, et edenda multa satureia. Imponendum autem super vulnus stercus caprinum ex

eodem hordiacia farina, aut ruta contrita melle adiecto. Quod in eo quoque vulnere, quod cerastes fecit, aeque valet. 9 Ubi vero phalangium nocuit, praeter cam curationem, quae manu redditur, saepe homo demittendus in solium est ; dandusque ei murrae et uvae taminiae par modus ex passi hemina ; vel radiculae semen aut lolii radix ex vino ; et super vulnus furfures ex aceto coctae ; imperandumque, ut is conquiescat. 10 Verum haec genera serpentium et peregrina et aliquanto magis pestifera sunt, maximeque aestuosis locis gignuntur. Italia frigidioresque regiones hac aceto coctum, aut ex

vel nepeta

cum sale

quoque parte

salubritatem habent, quod minus angues edunt. Adversus quos satis proficit herba Vettonica vel Cantabrica vel centaurios vel argimonia vel trixago vel personina vel marinae pastinacae, vel singulae binaeve tritae et cum vino .^ sunt et super vulnus impositae. potui datae Illud ignorari non oportet, omnis serpentis ictum et ieiuni et ieiuno magis nocere ideoque perniciosis1 Marx brackets -X- I (one denarius, i.e. 3 J scruples, or 4 terribiles

,

,

;

grammes) as a .

.

.

gloss

;

Targa

rejects the

whole sentence quod

sit

-Jf I.

Marx

datae
mode

contritae protinus et terra evulsao, ' or pounded in the same way as soon as they have been dug out of the ground.* *

120

inserts

:

BOOK

V. 27. 7-10

man, poley-germander roasted, equal in Egyptian bean, is divided into two draughts, a little rue being added. Trefoil also and wild mint and allheal-juice, with vinegar, are equally efficacious. Costmary, casia, and cinnamon may bitten a

amount

to an

appropriately be taken in draughts. For the bite of a chelydrus," allheal-juice or laser 4 grms., or leek-juice in 250 c.cm. of wine, may be taken, and a quantity of savory eaten. Over the bite either goat's dung, or barley-meal boiled with vinegar should be apphed, or rue, or catnip pounded with salt, with honey added. This last is equally efficacious for the bite of a cerastes. But when a venomous spider has done the harm, in addition to the surgical treatment, the patient should be plunged often into the hot bath and take equal quantities of myrrh and bryony berries in 250 c.cm. of raisin wine or radish seeds or darnel root in wine ; bran boiled in vinegar is to be put on the wound, and the patient is kept in bed. But the foregoing classes of reptiles belong to foreign countries, and are especially poisonous, and they are mostly generated in hot countries. Italy and colder countries are healthier in this respect too, for the reptiles they produce are less dangerous. Against them sufficient remedies are betony or convolvulus or centaury or agrimony or germander or burdock or sea parsnip any one or two of these is pounded up and taken in wine and appUed to the bite. It must be remembered that all snake-bites are more harmful when either the reptile or the man is hungry-. Hence snakes are most injurious when ;

;

;

.

•

.

.

Colubt* nat.rix (x^XvSpos), the marsh snake.

121

CELSUS

11

simae sunt cum incubant, utilissimumque est, ubi ex anguibus metus est, non ante procedi quam quis aliquid adsumpsit. Non tam ex facili is opitulari est, qui venenum vel in cibo vel in potione sumpserunt, primum quia non protinus sentiunt, ut ab angue icti ; ita ne succurrere quidem statim sibi possunt deinde quia noxa non a cute sed ab interioribus partibus incipit. Commodissimum est tamen, ubi primum sensit aliquis, protinus oleo multo epoto vomere ; deinde ubi praecordia exhausit, bibere antidotum • si id non est, vel merum vinum. Sunt tamen quaedam remedia propria adversus quaedam venena, maximeque leviora. Nam si .^ contusa cantharidas aliquis ebibit, panaces cum vel galbanum vino adiecto dari, vel lac per se debet. Si cicutam, vinum merum calidum cum ruta quam plurimum ingerendum est deinde is vomere cogendus; posteaque laser ex vino dandum is que, si febre vacat, in calidum balneum mittendus si non vacat, unguendus ex calfacientibus est. Post quae ;

:

12

.

B

.

;

:

;

C

quies ei necessaria est. Si hyoscyamum, fervens mulsum bibendum est, aut quodlibet lac, maxime tamen asininum. Si cerussam, ius malvae vel ius glandis ex vino contritae maxime prosunt. Si sanguisuga epota est, acetum cum sale bibendvun est. Si lac intus coiit, aut passum aut coagulum aut cum aceto laser. Si fungos inutiles quis adsumpsit, radicula aut^ ^

cum

lacte supplied by

*

The

text is corrupt.

laca aut per se> aut

Edd.

Marx suggests : radicula aut <portucum sale, etc., and this is translated.

Daremberg, comparing Pliny, N.H. XX. 20. 81 cum sale et aceto, edenda est.

e posca, aut

122

:

radicula aut

;

BOOK

V. 27. 10-12 c

brooding, and it is of the greatest importance when there is danger from snakes not to go out before taking some food. It is not so easy to render assistance when poison has been taken in food or drink, first because patients do not perceive it at once as when bitten by a snake and so are unable to afford themselves any help immediately. Moreover, the mischief starts, not from the skin, but from within. But the best thing, as soon as any one has perceived it, is to swallow a quantity of oil at once and vomit then, when the praecordia have been emptied, to drink an antidote or failing that undiluted wine. There are, nevertheless, certain remedies proper for particular poisons, especially for the milder ones. If a potion of cantharides has been swallowed, all-heal pounded in milk should be given or galban um with the addition of vdne, or milk by itself. If it be hemlock, hot undiluted wine with rue should be taken in a large quantity, then the patient should be made to vomit; and after that laser is given in wine and if free from fever he should be put into a hot bath; if not free, he should be anointed with heating remedies. After this, rest is necessary. If it be hyoscyamus, honey wine should be drunk hot, or milk of any kind, especially asses' milk. If it be white-lead, mallow or walnut juice rubbed ;

;

;

up in wine

is best. If a leech has been swallowed," vinegar with salt is to be drunk. When milk has curdled inside, either raisin wine or rennet or laser with vinegar.

If

any one has eaten fungi that are not used, a »

Pliny,

N.H. XXVIIl.

10. 45.

123

;

CELSUS fpota aut

cum

hi et specie

sale et aceto

quidem

edenda

discerni possunt

est.

Ipsi vero

ab

utilibus et

cocturae genere idonei fieri. Nam sive ex oleo inferverunt, sive piri surculus cum his infervit, omni noxa vacant. 13 Adustis quoque locis extrinsecus vis infertur: itaque sequi videtur, ut de his dicam. Haec autem

optime curantur foho aut HHi aut Unguae caninae quorum aut betae in vetere vino oleoque decoctis quidhbet protinus impositum ad sanitatem perducit. Sed dividi quoque curatio potest in ea, quae mediocriter exedentia reprimentiaque primo et pusulas ;

B

prohibeant et summam pelliculam exasperent deinde ea, quae lenia ad sanitatem perducant. Ex prioribus est lenticulae cum melle farina vel myrra cum vino vel creta Cimolia cum turis cortice contrita et aqua coacta atque, ubi usus necessitas incidit, Ex insequentibus quaelibet lipara aceto diluta. sed idonea maxime est, quae vel plumbi recrementum Est etiam ilia adustorum curatio, vel vitellos habet. dum inflammatio est, impositam habere cum melle lenticulam ubi ea declinavit, farinam cum ruta vel porro vel marrubio, donee crustae cadant; tum ervum cum melle aut irim aut resinam terebinthinam, novissime siccum linadonee ulcus purum sit :

:

;

mentum.

Ab

quae extrinsecus incidunt, ad ea quae interius corrupta aliqua corporum parte nascuntur. Ex quibus non aliud carbunculo peius est. Eius hae notae sunt rubor est, superque eum non nimium pusulae eminent, 28.

his,

veniendum

est,

:

•

124

V. 19. 25-28

;

especially 26

and

28.

BOOK

V. 27. 12 c-28.

I

radish or purslane is to be eaten alone or with a draught of salt and vinegar. Such fungi may be distinguished from the sorts in use by their appearance, and may be rendered safe by suitable cooking; for when boiled in oil, or along with a pear-tree twig, they lose all their noxious property. Burns are likewise the product of external violence, and so it seems to follow that I should speak of them here. Now they are best treated by leaves either of lily or of hound's tongue or of beet, boiled in old wine and oil ; any one of the above applied at

But the treatment can also be divided into: first, a stage of moderately exedent and repressant applications both to check blisters and to roughen the skin; next, a stage of soothing Among the former is lentil applications for healing. meal with honey, or myrrh with wine, or Cimolian chalk pounded up with frankincense bark and mixed with water, and when it has to be used, diluted with vinegar. Subsequent applications include anything that is greasy ; but the most suitable is that containing lead slag or yolk of egg."^ There is also another treatment of burns, namely, while the inflammation lasts, to keep lentil meal and honey on the wound; next, when the inflammation has subsided, flour with rue or with leek or with hore-hound, until the crusts fall off"; then vetch meal with honey, or iris ointment or turpentine-resin, until the ulceration once brings healing.

is

clean,

and

finally

dry

lint.

From

those lesions which are due to something from without we come to those which originate from within, when some bodily part has become corrupted. Of these none are worse than carbuncles, the signs of which are : redness, with a few pustules projecting 28.

125 VOL.

II.

Q

CELSUS maxime

nigrae, interdum sublividae aut pallidae:

in his sanies esse videtur.

Infra color niger est:

ipsum corpus aridum et durius quam naturaliter oportet; circaque quasi crusta est, eaque inflammatione cingitur neque in eo loco levari cutis potest, :

B

sed inferiori carni quasi adfixa est. Somnus urguet, nonnunquam horror aut febris oritur, aut utrunque. Idque vitium subteractis quasi quibusdam radicibus serpit, interdum celerius, interdum tardius supra quoque procedens inalbescit, dein lividum fit, circumque exiguae pustulae oriuntur et si circa stomachum :

;

—

faucesve incidit, subito spiritum saepe elidit. Nihil melius est quam protinus adurere neque id grave est: nam non sentit, quoniam ea caro mortua est; finisque adurendi est, dum ex omni parte sensus ;

C

Tum

deinde vulnus sicut cetera adusta enim sub medicamentis erodentibus crusta undique a viva carne diducta, quae trahit secum quicquid corruptum erat purusque doloris est.

curandum

est:

sequitur

;

iam sinus curari potest implentibus.

D

At si in summa cute vitium est, possunt succurrere quaedam vel exedentia tantum vel etiam adurentia. Vis pro magnitudine adhibenda est. Quodcunque vero medicamentum impositmn est, si satis proficiet, protinus a vivo corruptam partem resolvit ; certaque esse fiducia potest fore, ut undique vitiosa caro excidat,

non

fit]

qua [huiusce

rei

medicamen] exest.

medicamentum malo

vincitur,

" Cf. summam pdliculam (V. 27. 13). distinguish the epidermis from the dermis.

126

Si [id

utique ad

Celsus appears to

;

BOOK

V. 28. i-D

a little, mostly black, sometimes livid or pallid their contents seems to be sanies the colour underneath is black the actual tissue is dry, and harder than it should be naturally and round them there is a sort of crust, and outside that an inflammatory ring and there the skin cannot be pinched up, but is as it were fixed in the underlying flesh. The patient is somnolent sometimes there is shivering or fever or both. And this lesion spreads, sometimes quickly, sometimes slowly, pushing out a sort of root underneath on the surface too as it spreads the skin gets paler, then becomes livid, and a ring of small pustules arises ; and if this occurs in the region of the gullet or fauces, often it suddenly stops the patient's breathing. The best thing is to apply a cautery at once; this is not a severe procedure, because the patient does not feel it, since the flesh is dead and the cauterizing is stopped when pain is felt all over the lesion. After that the wound is to be treated hke other burns for under erodent medicaments it follows that the crust becomes separated on all sides from the living flesh, and takes off with it whatever has become corrupted; and the cavity when clean can be dressed with some preparation to make flesh. But when the lesion is on the surface of the skin," it is possible to cure it simply by exedents or at any rate by caustics. The strength of the remedy adopted is to be proportionate to the lesion. But whatever the medicament is, if it is sufficiently effectual, it forthwith detaches the corrupted part from the living we may be confident that wherever the apphcation works, the diseased flesh everywhere sloughs off. If the medicament is being mastered by the disease, certainly there must be no delay in ;

;

;

;

;

;

;

;

;

127

GELSUS ustionem properandum est. Sed in eiusmodi casu abstinendum a cibo, a vino est aquam liberaliter bibere expedit. Magisque ea servanda sunt, si :

febricula

quoque

accessit.

Non idem periculum carcinoma

2

adfert, nisi im-

curantis agitatum est. Id vitium fit maxime in superioribus partibus, circa faciem, nares, ^ aures, labra, mammas feminarum f et in ulcere autem aut splene hoc nascitur. Circa locum aliqua quasi puncta sentiuntur ; isque immobilis, inaequalis tumet, interdum etiam torpet. Circa eum inflatae venae quasi recurvantiu", haeque pallent aut livent, nonnunquam etiam in quibusdam delitescunt; tactusque is locus aliis dolorem adfert, in aliis sensum non habet. Et nonnunquam sine ulcere durior aut mollior est quam esse naturaliter debet: nonnunquam isdem omnibus ulcus accedit. Interdumque nullam habet proprietatem, interdum simile is est, quae vocant Graeci condylomata aspritudine quadam et magnitudine ; colorque eius ruber est aut lenticulae similis. Neque tuto feritur: nam protinus aut resolutio nervorum aut distentio insequitur. Saepe homo ictus ommutescit, atque eius anima deficit: quibusdam etiam, si id ipsum pressum est, quae circa sunt, intenduntur et intumescunt. Ob

prudentia

:

B

C

quae pessimum id genus est. Fereque primum id fit, quod cacoethes a Graecis nominatur deinde ex ;

^

is corrupt : one MS. has iecore for ulcere. as follows : etiam in utero autem aut liene this arises also in the womb or the spleen.^

This passage

Marx

restores

hoc nascitur,

it '

See Appendix, pp. 591-2. sense seems to require the mention of some other internal organ, for a suggested emendation see critical note. »

*

128

The

;;

BOOK

V. 28.

I i>-2

c

applying the cautery. But in such a case there should be abstinence from food and from wine it is a good thing to drink water freely. And this should be done all the more when there is feverishness as ;

well.

A

carcinoma " does not give rise to the same danger unless it is irritated by imprudent treatment. This disease occurs mostly in the upper parts of the body, in the region of the face, nose, ears, lips, and in the breasts of women, but it may also arise in an ulceration,* or in the spleen. Around the spot is felt a sort of pricking ; there is a fixed, irregular swelling,

sometimes there

is also numbness. Around it are dilated tortuous veins, pallid or Hvid in hue ; sometimes in certain cases they are even hidden from view and in some the part is painful to the touch, in others

there is no feeling. And at times the part becomes harder or softer than natural, yet without ulcerating and sometimes ulceration supervenes on all the above signs. The ulceration at times has no special characteristic ; at times it resembles what the Greeks call condylomata,'^ both in a sort of roughness and in size its colour is either red or like that of lentils. It is not safe to give it a blow for either paralysis or spasm of the sinews follows at once. Often from a blow on it a man loses speech and faints in some also, if the place is pressed, the parts around become tense and swollen. Then it is the worst kind. And generally the first stage is what the Greeks call cacoethes ; ;

;

'^

Targa followed by Daremberg deletes the whole sentence as a pointing out that the spleen is not in "the upper parts." " Knuckle-shaped swellings, VI. 18. 8A, C VII. 30. 2. KaKOT^drjs is used by Hippocrates to mean malignant, e.g. Coac. 114, 316, 524, etc.; the word is not found in Celsus gloss,

;

**

except in this chapter.

129

;

CELSUS

D

eo id carcinoma, quod sine ulcere est ; deinde ulcus, ex eo thymium. Tolli nihil nisi cacoethes potest: reliqua curationibus inritantur; et quo maior vis adhibita est, eo magis. Quidam usi sunt medicamentis adiu-entibus, quidam ferro adusserunt, quidam scalpello exciderunt: neque ulla unquam medicina profecit, sed adusta protinus concitata sunt Excisa, etiam et increverunt, donee occiderent. post inductam cicatricem, tamen reverterunt et cum interim plerique causam mortis adtulerunt nullam vim adhibendo, qua tollere id malum temptent, sed imponendo tantum lenia medicamenta, :

E

F

quae quasi blandiantur, quominus ad ultimam senectutem perveniant, non prohibentur. Discernere autem cacoethes, quod curationem recipit, a carcinomate, quod non recipit, nemo scite^ potest sed Ergo ubi primum id tempore et experimento. vitium notatum est, imponi debent medicamenta adurentia. Si levatur malum, minuuntur eius indicia, procedere curatio potest et ad scalpellum et ad ustionem. Si protinus inritatum est, scire licet iam carcinoma esse, removendaque sunt omnia acria, omnia vehementia. Sed si sine ulcere is locus durus est, imponi ficum quam pinguissimam aut rhypodes emplastriun satis est. Si ulcus aequale est, ceratum ex rosa iniciendum est, adiciendusque ei pulvis ex contrita testa, ex qua faber ferrarius tinguere candens ferrum solitus est. Si id nimium supercrevit, temptanda squama aeris est, quae lenissima ex adurentibus est, eatenus ne quid eminere patiatur

—

^

So Daremburg for

the

M88.

seire.

"

For thymium (resembling thyme-flowers) see V.

*

V. 19. 15.

130

28.

14B-E.

BOOK

V. 28. 2C-F

then from that follows a carcinoma without ulceration then ulceration, and from that a kind of wart." It is only the cacoethes which can be removed the other stages are irritated by treatment and the more so the more vigorous it is. Some have used caustic medicaments, some the cautery, some excision with a scalpel but no medicament has ever given relief; the parts cauterized are excited immediately to an increase until they cause death. After excision, even when a scar has formed, none the less the disease has returned, and caused death while at the same time the majority of patients, though no violent measures are applied in the attempt to remove the tumour, but only mild applications in order to soothe it, attain to a ripe old age in spite of it. No one, however, except by time and experiment, can have the skill to distinguish a cacoethes which admits of being treated from a carcinoma which does not. Therefore, as soon as the lesion is first noted, caustic medicaments should be applied. If the disease is reheved, if its indications are lessened, the treatment can be advanced to the use of the knife and of the ;

;

;

;

;

cautery. If it is irritated at once, we may recognize that it is already a carcinoma, and that all acrid and severe remedies are to be avoided. But if the place is hardened without ulceration, it is enough to put on a fig of the fattest sort or the plaster called rhypodes.'' If there is an ulceration level with the skin, the rose cerate is to be applied, to which must

be added powder from a crusted earthenware pot, into which a blacksmith has been accustomed to dip red-hot iron. If there is a considerable growth upon it, copper scales, which are the mildest of the caustics, are to be tried, until they check the tendency to 131

;

CELSUS ita, si nihil exacerbavit contenti esse debebimsu.

sed 3

:

si

minus, eodem cerato

Est etiam ulcus, quod Orfpiutfxa Graeei vocant. Id et per se nascitur et interdum ulceri ex alia causa facto supervenit. Color est vel lividus vel niger, odor foedus, multus et muccis similis umor. Ip-

sum

ulcus

neque tactum neque

medicamentum

sentit : prurigine tantum movetur. At circa dolor est et inflammatio ; interdum etiam febris oritur,

B nonnunquam ex ulcere sanguis erumpit. Atque id quoque malum serpit. Quae omnia saepe intenduntur fitque ex his ulcus, quod phagedainam Graeei quia celeriter serpendo penetrandoque usque ossa corpus vorat. Id ulcus inaequale est, caeno simile inestque multus umor glutinosus odor intolerabilis, maiorque quam pro modo ulceris inflammatio. Utrunque, sicut omnis cancer, fit maxime in senibus vel iis, quorum corpora mali habitus sunt. Curatio utriusque eadem est, sed in maiore malo magis necessaria. Ac primum a victus ratione ordinandus est, ut quiescat in lectulo, ut primis diebus a cibo abstineat, aquam quam plurimam adsumat; alvus quoque ei ducatur; dein post inflammationem cibum boni suci capiat, vitatis vocant,

;

—

C

omnibus acribus potionis quantum interdiu quidem aqua contentus sit, ;

volet,

sic

ut

cena vero etiam vini austeri aliquid bibat. Non aeque tamen fame in iis, quos ^aycSaiva urgebit, atque iis, qui

"

This word

459) uses beast) *

132

is first

6-qpiov.

found in Celsus.

in

Hippocrates {Coac.

Both words are derived from

and denote the character of the ulceration.

An

'

eating

'

sore ay4Baiva

((f>ay€lv).

dijp

(wild

:

BOOK growth

;

but only so

when the growth

is

V. 28.

2

F-3 c

no wise made worse prominent we ought to rest

if it is in

less

content with the rose cerate. There is also an ulceration which the Greeks call therioma." This may arise spontaneously, and at times it may supervene upon ulceration from another cause. It has either a livid or black colour, a foul odour, and an abundant mucus-like discharge. The ulcer itself is insensitive to touch and applications; there is just disturbance by itching. But around there is pain and inflammation; sometimes even fever is set up, occasionally blood is discharged from the ulceration. This also is a spreading disease. And all these signs often extend, and there results from them an ulcer which the Greeks call phagedaena,* because it spreads rapidly and penetrates down to the bones and so devours the flesh. This ulceration is uneven, bog-like; there is a large amount of glutinous discharge the stench is intolerable, and the inflammation is greater than accords with the extent of the ulceration. Both therioma and phagedaena, Uke all canker, occur for the most part in the aged or those of a bad habit of body. Both are treated in the same way, but treatment is more necessary in the severer form. Firstly, a regimen must be enforced, so that the patient rests in bed, abstains from food for the first days, drinks very freely of water; also has the bowels moved by a clyster ; then, on the subsidence of the inflammation, takes digestible food, avoiding everything acrid; drinks as much as he likes, but for the time being contents himself with water, except that at dinner he may drink a little dry wine. But fasting is not to be used for patients with phagedaena ;

^33

CELSUS therioma adhuc habebunt, utendum erit. Et victus quidem talis necessarius est. Super ulcus vero ^ oenanthe est, et, si inspergenda arida aloe parum proficiet, chalcitis. Ac si quis nervus exesa carne nudatus est, contegendus ante linteolo est, ne sub eo medicamento aduratur. Si validioribus etiamnum remediis opus est, ad eas compositiones veniendum est, quae vehementius adurunt. Quicquid autem inspergitur, averso specillo infundi debet. E Superdanda cum melle sunt vel linamenta vel oleae folia ex vino decocta vel marrubium eaque linteolo contegenda in aqua frigida madefacto dein bene expresso circaque, qua tumor ex inflammatione est, imponenda quae reprimant cataplasmata. Si sub his

D

.

.

.

;

;

locus aduri debet, diligenter qui apparent, ante contectis. Adustum vel medicamentis vel ferro corpus primum purgandum, deinde implendum esse apparere cuilibet ex prioribus nihil proficitur, ferro

nervis,

si

potest. 4

Sacer quoque ignis malis ulceribus adnumerari Eius duae species sunt alterum est subrubicundum aut mixtum rubore atque pallore exasperatumque per pusulas continuas, quarum nulla t alteri^ niaior est, sed plurimae perexiguae: in his semper fere pus et saepe rubor cum calore est. Serpitque id nonnunquam sanescente eo, quod primum vitiatum est, nonnunquam etiam exulcerato, ubi ruptis pusulis ulcus continuatur umorque exit, qui esse inter saniem et pus videri potest. Fit maxime in pectore aut lateribus aut eminentibus partibus, debet.

^

:

Marx

reads: aloe
translated. ^

Most

editors

add

altera.

vel> oenanthe and

this is

BOOK

V. 28. 3 c-4

to the same extent as for those with therioma. Over the ulceration too should be dusted dry lign-aloes pounded up or vine-flower, and if this does no good, copper ore and if by erosion of flesh a sinew has become exposed, it must first be covered by Hnt, to prevent the medicament from burning it. If still stronger remedies are required, then recourse must be had to more active caustics. But whatever the medicament to be sprinkled on, it ought to be applied by means of the flat end of a probe. Over this should be put either lint soaked in honey or oliveleaves boiled in wine or horehound; and this is to be covered over by lint well \vrung out of cold water; the inflammatory swelling around is to be covered with repressant poultices. If there is no benefit from these measures, the place should be burnt with the cautery, exposed sinews being first carefully covered over. The tissue burnt, whether by caustic or by the cautery, is first to be cleaned, then to be filled up with new flesh, as is clear to anyone from what has been stated before. Ignis sacer " should be counted also among the bad ulcerations. Of this there are two kinds; one is reddish or partly red, partly pale and roughened by a chronic pustulation, the pustules all of about equal size, but mostly very small in them there is nearly always pus and often there is redness with heat. And sometimes the disease spreads while the first part attacked is healing; sometimes even after this is ulcerated, when the pustules have ruptured and the ulcer continues and a humour is discharged which appears to be something between sanies and pus. It attacks chiefly the chest or flanks or ;

:

«

See Appendix,

p. 590.

135

:

GELSUS B

praecipueque in plantis.

summae

cutis

proxima

cutis,

Alterum autem

est

in

exulceratione, sed sine altitudine, latum, sublividum, inaequaliter tamen ; mediumque sanescit extremis procedentibus. Ac saepe id, quod iam sanum videbatur, iterum exulceratur. At circa

quae vitium receptura

est,

tumidior

et durior est coloremque habet ex rubro subnigrum.

Atque hoc quoque malo

C

fere corpora seniora temptantur aut quae mali habitus sunt, sed in cruribus maxime. Omnis autem sacer ignis, ut minimum periculum habet ex iis, quae serpunt, sic prope difficillime tollitur. Medicamentum eius fortuitum

—

uno die febris, quae umorem noxium absumat. Pus quo crassius et albidius est, eo periculi minus est. laedi,^ quo plus Prodest etiam infra os vulnerum puris exeat et id, quod ibi corruptum corpus est, exest

.

D

.

.

trahatur. Sed tamen si febricula accessit, abstinentia, lectulo alvi ductione opus est. In omni vero sacro igni neque lenibus et glutinosis [cibis], neque salsis et acribus utendum est, sed iis, quae inter utrunque sunt, qualis est panis sine fermento, piscis, haedus, aves, exceptoque apro omnis fere venatio. Si non est febricula, et gestatio utilis est et ambulatio et vinum austere et balneum. Atque in hoc quoque genere potio magis liberalis esse quam cibus debet. Ipsa autem ulcera si mediocriter serpunt, aqua calida, si vehementius, vino calido fovenda sunt ; deinde acu pusulae, quaecunque sunt,

aperiendae

;

turn

imponenda

ea,

quae putrem carnem

The text is corrupt : one MSS. reads ulcerum for vulnerum Marx would insert cutem scalpello before laedi and this is translated; other emendations are infra ulcera locum caedi (F. d. Linden), and infra ulcera incidere {Targa). ^

^ See vol. I. pp. 181, 183 note a ; but the meaning here may be only riding (i.e. being carried about) as opposed to walking.

136

;

BOOK

V.

28.

4-4 D

extremities, particularly the soles of the feet. The second form, again, consists of a superficial ulceration, not going deep, but wide, somewhat livid, yet patchy ; while it heals at the centre, it extends at the margins. And often the part which apparently had healed again ulcerates. But the skin around, which is about to be invaded by the disease, becomes more swollen and harder and of a dusky red colour. And it is the aged who are mostly afflicted by this malady too or those with a bad habit of body, but chiefly in the legs. Now all cases of erysipelas, although the least dangerous of the ulcerations which spread, are the most difficult to relieve. A chance remedy for it is a one-day fever which carries off noxious humour. The thicker and the whiter the pus, the less the danger. It is also beneficial to make incisions below the openings of the sores, to let a larger amount of pus escape, and to extract it because the body there is corrupt. If, however, slight fever supervenes, abstinence, rest in bed and a clyster are needed. In erysipelas of all kinds, neither mild and glutinous nor salted and acrid foods should be used, but material of the middle class, such as unleavened bread, fish, kid, poultry and all kinds of game, except wild boar's meat. When there is no feverishness, both rocking^ and walking are of service, and dry wine and the bath. And in this class of cases drink should be taken more freely than food. But if the ulceration spreads slowly it should be fomented with hot water if rapidly, with hot wine ; then whatever pustules there are must be opened with a needle; afterwards applications are to be made which corrode 137

CELSUS

E

Ubi inflammatio sublata ulcusque pur

exedunt.

gatum

est,

imponi

medicamentum

lene

debet.

altero autem genere possunt profieere mala Cotonea in vino cocta atque contrita, potest emplastrum vel Herae vel tetrapharmacum, cui quinta pars

In

turis adiecta sit, potest nigra

cocta

;

ac,

proficit.

si

celeriter

malum

hedera ex vino austero serpit, non aliud magis

Purgato ulcere, quod in

proposui (B), satis ad sanitateni 5

summa

eadem

cute esse lenia medica-

menta proficient. Chironeum autem

ulcus appellatur, quod et maget habet oras duras, callosas, tumentes. Exit sanies non multa sed tenuis. Odor malus neque in ulcere neque in eius umore est ; nulla inflammatio,

num

est

nihil serpit, ideoque nullum modicus est periculum afFert, sed non facile sanescit. Interdum tenuis cicatrix inducitur, deinde iterum rumpitur ulcusque renovatur. Fit maxime in pedibus et Super id imponi debet, quod et lene cruribus. Quale aliquid et vehemens et reprimens habeat. squamae aeris, plumbi eius rei causa fit ex his cadmiae, eloti combusti, singulorum P. -Jf IIII oerae, singulorum P. -Jf VIII; rosae quantum satis est ad ceram simul cum eis molliendam. 6 Fiunt etiam ex frigore ulcera hiberna, maxime in pedibus digitisque eorum, pueris, et praecipue nonnunquam etiam in manibus. Rubor cum inflammatione mediocri est; interdum pusulae oridolor autem modicus. untur, deinde exulceratio

dolor

;

:

;

:

•

' Vol. I. 494. * V. 24. 4. V. 82. 7. • V. 19. 9. V. 22. 2. / A chronic ulcer which was so called in reference to the story of the centaur Cheiron who received a wound which would not heal and therefore gave up his immortality.

"

138

BOOK

V. 28.

4D-6

putrid flesh." When the inflammation is relieved and the ulcer cleaned, soothing ointment should be applied.* But in the former kind,'' quinces, boiled

wine and pounded, may prove beneficial, as also a plaster, either that of Heras'' or the tetrapharmacum,* with a fifth part of frankincense added, or black ivy boiled in dry wine ; and if the disease is spreading rapidly there is nothing better. When the ulceration has been cleaned, the same soothing remedies which I prescribed above for the superficial variety are sufficient to induce healing. Again, the ulcer called chironean/ is large and has hard, callous, swollen margins. A sanies exudes, which is not copious, but thin. There is no bad odour, either in the ulcer or in its discharge; no inflammation; pain is moderate; it does not spread, so it brings no danger, but it does not heal readily. At times a thin scab is produced, then in turn it is broken down and the ulceration is renewed. It occurs chiefly on the feet and legs. On it should be applied something which is at once soothing, and active and repressant, such as the following: copper scales, washed lead calcined, 16 grms. each, cadmia and wax, 32 grms. each, along with enough rose-oil to give the wax together with the other materials a soft consistence. Ulcers are also produced in winter by the cold,? mostly in children, and particularly on their feet and toes, sometimes also on the hands. There is redness with moderate inflammation; sometimes pustules arise followed by ulceration; the pain is in

» Chilblain, ulcus hibernum, Greek -j^iy^erXov. were also called perniones (Pliny, N.H. 23. 3. 37,

Chilblains § 74).

139

— GELSUS

B

Prurigo maior est : nonnunquam umor exit, sed non multus, qui referre vel pus vel saniem videtur. In primis multa calida aqua fovendum est, in qua rapa decocta, aut si ea non sunt, aliquae verbenae ex reprimentibus. Si nondum adapertum ulcus, aes, quam maxime calidum quis pati potest, admovendum Si iam exulceratio est, imponi debet alumen aequa portione cum ture contritum vino adiecto, aut malicorium in aqua coctum deinde contritum. Si summa detracta pellicula est, hie quoque melius lenia medicamenta proficiunt. Struma quoque est tumor, in quo subter concreta quaedam ex pure et sanguine quasi glandulae oriuntur; quae vel praecipue fatigare medicos solent, quoniam et febres movent nee unquam facile maturescunt; et sive ferro sive medicamentis curantur, plerumque iterum iuxta cicatrices ipsas resurgunt quibus id multoque post medicamenta saepius quoque adcedit, quod longo spatio detinent. Nascest.

7

;

untur maxime in cervice, sed etiam in

B

alis

et in-

lateribus : in mammis quoque feminarum se reperisse [chirurgicus] Meges auctor est. Propter haec et album veratrum recte datur, atque

guinibus

.

.

.^

etiam saepius, donee ea digerantur, et medicamenta imponuntur, quae umorem vel educant vel dissipent, quorum supra {cap. xviii, 1-7 A, 13 seqq.) mentio facta est. Adurentibus quoque quidam utuntur, ^

Some words have

which

fallen out

;

Marx

suggests subinde in

is translated.

« Celsus is here describing swellings of the lymphatic glands of the neck, axilla and groins often tuoerculoua (scrofulous) in origin and leading to the formation of a cold abscess. Cf. II. 1. 19 and V. 18. 5-31. The word struma

140

BOOK

V. 28. 6-7 B

moderate. The itching is greater ; at times humour exudes, but not much it seems to resemble either pus or sanies. In the first place, the ulcers are to be fomented freely with a hot decoction of turnips, or, if these are not to be had, some kind of repressant vervain. If there is not yet an open ulcer, copper scales as hot as can be borne are to be applied. If there is already an ulceration, then apply equal parts of alum and frankincense pounded together with the addition of wine, or pomegranate-rind boiled in water and then pounded. If the skin has become detached, in that case also soothing medicaments do good. Struma," again, is a swelling, in which there occur underneath certain concretions of pus and blood like little glands they are specially embarrassing to medical men, for they set up fever and yet do not quickly come to a head; and whether they are treated by incision or by medicaments, they are generally prone to recur in the neighbourhood of their scars, and this happens much more often after the application of medicaments ; and in addition to all this, they are of long duration. These swellings arise particularly in the neck, but also in the armpits and groins and in the flanks. [The surgeon] Meges stated that he had met with them also in the breasts of women. For these white hellebore is an appropriate remedy, and this must be taken frequently until they are dispersed; and also the medicaments which have been mentioned above are applied in order to draw out or disperse the humour. Some also use caustics * ;

;

formerly used to describe the condition by English writers * V. 9. now generally applied especiaLy to goitre.

is

141

;

CELSUS quae exedunt crustaque eum locum astringant tunc vero ut ulcus curant. Quaecunque autem ratio curandi est, corpus puro ulcere exercendum atque alendum est, donee ad cicatricem perveniat. Quae cum medici doceant, quorundam rusticorum experimento cognitum, quern struma male habet, si [eum] anguem edit, liberari. Furunculus vero est tuberculum acutum cum 8 inflammatione et dolore, maximeque ubi iam in pus vertit. Qui ubi adapertus est, et exit pus, apparet pars carnis in pus versa, pars corrupta subalbida, subrubra, quern ventriculum quidam furunculi nominant. In eo nullum periculum est, etiam ut nulla curatio adhibeatur maturescit enim per se atque erumpit sed dolor efficit, ut potior medicina sit, quae maturius liberet. Proprium eius medicamentum galbanum est sed alia quoque quae supra {cap. xviii) comprehensa sunt. Si cetera desunt, imponi debet primum non pingue emplastrum, deinde, si non repressit, quodlibet ut id reprimat :

:

—

:

;

puri

movendo accommodatum

vel resina vel fermentum. ultra curatio necessaria est. 9

Phyma

vero

si ne id quidem est, Expresso pure nulla

;

tuberculum furunculo saepe etiam maius.

nominatur

simile, sed rotundius et planius,

Nam

dimidii magnitudinem raro excedit phyma etiam latius patere consuevit, sed inflammatio dolorque sub eo

furunculus

explet,

ovi

nunquam

:

minores sunt. Ubi divisum est, pus eodem modo apparet ; ventriculus, ut in furunculo, non invenitur,

•

143

V. 18. 21.

;;

BOOK

V. 28.

7

B-9

which eat away, and by forming a scab harden the place; after which they dress it hke an ulceration. Whatever the mode of treatment, however, after the ulcer has cleaned, the patient is to have exercise and nourishment until the scar is formed. Although these are the doctrines of the physicians it has been found out by the experience of some country folk, that anyone with a bad struma may be freed from it by eating a snake. The boil, again, is a pointed swelling attended by inflammation and pain, and especially so when it is being converted into pus. When it has opened and the pus gone out, it is seen that part of the flesh has been turned into pus, part into a greyish-reddish core which some call the sac of the boil. There is no even although no treatment is adopted of itself, and bursts but the pain renders treatment preferable in order to afford The special medicine for this is earlier relief. galbanum;* but there are others also which have been mentioned above. If none of these are available a plaster that is not greasy should first be applied to disperse it next, if this is not effective, something adapted to promote suppuration if even that is not to be had, either raisin wine or yeast. When the pus has been squeezed out, no further treatment is needed. A phyma is a swelling which resembles a boil, but is rounder and flatter, often also larger. For a boil rarely reaches the size of half an egg, and never exceeds it a phyma commonly extends even over a wider area, but the pain and the inflammation in it are less. When it has been opened, pus appears in the same way; no core is found as in a

danger in

it,

for it ripens

;

;

;

;

143

:

CELSUS verum omnis corrupta caro in pus vertitur. Id autem in pueris et saepius nascitur et facilius tollitur in iuvenibus rarius oritur et difficilius curatur. Ubi

10

aetas induravit, ne nascitur quidem. Quibus vero medicamentis discuteretur, supra (18, 16-20) propositum est. Phygetron autem est tumor non altus, latus, in quo quiddam pusulae simile est. Dolor distentioque vehemens est, et maior quam pro magnitudine tumoris, interdum etiam febricula. Idque tarde maturescit neque magnopere in pus convertitur. Fit

maxime aut

Panum id

in vertice aut in alis aut inguinibus. a similitudine figurae nostri vocant. Atque

ipsum quo medieamento toUeretur, supra

(18, 19)

demonstravi. 11

Sed cum omnes hi nihil nisi minuti abscessus sint, generale nomen trahit latius vitium ad suppurationem spectans ; idque fere fit aut post febres aut post dolores partis alicuius

maximeque

eos, qui

ventrem

Saepiusque oculis expositum est, siquidem latius aliquid intumescit ad similitudinem eius, quod phyma vocari proposui (§ 9), rubetque cum calore et paulo post etiam cum duritia, magisque t innocenter f ^ indolescit et sitim vigiUamque exprimit interdum tamen nihil horum in cute deprehendi potest, maximeque ubi altius pus movetur, sed cum siti vigiliaque sentiuntur intus aliquae infestarunt.

:

One M8. reads inde venter. stiggests id nocenter, Marx conjectures increscendo for innocenter and this is translated. ^

This word must he corrupt.

Targa

'

144

V. 18. 16, 20, 23.

»

V. 28. 15.

:

BOOK boil, in fact all

Now

V. 28. 9-11

the corrupted flesh

is

turned into pus.

more often and is more readily relieved in young adults it is more rare and more difficult to treat. Where age has hardened the body, the disease does not even occur. By what in children this occurs ;

medicaments

it

should be dispersed has been stated

above."

Phygetron, again, is a wide swelling, not much raised up, in which there is a certain resemblance to a pustule.* The pain and tension is severe, and

more than would be expected from the size of the swelling; at times there is also feverishness. The ripening takes place slowly, and not much pus is formed. It occurs particularly on the top of the head, or in the armpits or groins. Our people call it panus, from its spindle-shape. And I have pointed out above

by what medicament

this

should

be

relieved."

But although all these diseases are really only minute abscesses, that name implies in general a more extensive lesion, tending to suppuration; and it occurs usually either after fevers or after pains in some part, and particularly after those which have attacked the abdomen. And generally it is visible, since there is some rather widespread swelhng, like that which I have previously described as called phyma, and it grows red and hot and shortly afterwards hard as well, and becomes more painful as it increases and occasions both thirst and insomnia sometimes, however, there may be none of these signs to note in the skin, and especially when pus is forming more deeply; but along with the thirst and insomnia some stabbing pains are felt internally. •

V. 18. 19.

145

:

CELSUS B

punctiones. Et quod desubito durius non est, melius ^ est et quamvis non rubet, coloris tamen aliter mutati est. Quae signa iam pure oriente nascuntur tumor ruborque multo ante incipiunt. Sed si locus mollis est, avertendus is materiae aditus est per cataplasmata, quae simul et reprimunt et refrigerant qualia et alias (II. 33, 2 ; V. 18, 21) et paulo ante in erysipelate (V. 26, 33) proposui si iam durior est, ad ea veniendum est, quae digerant et resolvant; qualis est ficus arida contusa, aut faex mixta cum cerato, quod ex adipe suilla coactum sit, aut cucumeris radix, cui ex farina duae partes adiectae sint ante ex mulso decoctae. Licet etiam miscere acquis portionibus Hammoniacum, galbanum, propolim, viscum, pondusque adicere myrrae dimidio minus quam in prioribus singulis erit. Atque :

;

C

emplastra quoque et malagmata idem efficiunt, quae supra (18, 7-20 19, 9-17) explicui. Quod per haec discussum non est, necesse est maturescat; idque quo celerius fiat, imponenda est farina horde.^ acia ex aqua cocta recte miscetur. Eadem autem haec in minoribus quoque abscessibus, quorum nomina proprietatesque supra (§ 1-10) reddidi, recte ;

.

fiunt

;

.

eademque omnium

curatio,

tantum modo

distat.

D

Crudum

est

venarum motus

autem,

in

quo magis quasi

,

.

.'

ardor et distentio et dolor et rubor et durities et, si maior abscessus est, horror aut etiam febricula permanet ; penitusque est, et gravitas et

*

Beading melius with one MS. Marx retains mollius. Constantius inserts : cui et olerum aliquid.

'

Marx

^

inserts

ferventium and

" II. *

146

this is translated.

33.2; V. 18. 21-26. 33. V. 18. 7-20—19. 9-17.

;

BOOK

V. 28. ii-D

And
;

moniacum, galbanum, propolis, mistletoe-juice, and of myrrh half as much by weight as of the other And the plasters and emollients which ingredients. A I have described above ^ have the same effect. swelling which has not been dispersed by such that it may do so measures must needs mature more quickly, barley-meal should be put on boiled in water <(with which also some herb) should be mixed. The same applications are appropriate also for the smaller abscesses, the names and pecuharities of which I have referred to above treatment is the same for all, only differing in degree.*^ Now a swelling is immature when the bloodvessels throb more as if they were bubbling and there is weight and heat and tension and pain and redness and hardening and, if the abscess is larger, and a shivering or even persistent feverishness ;

;

;

'

V. 28. 1-10. 147

GELSUS condita suppuratio est, si pro his, quae alibi cutis Ubi ista se remiserunt, ostendit, punctiones sunt. iamque is locus prurit et aut sublividus aut subalbidus est, matura suppuratio est ; eaque ubi vel per ipsa medicamenta vel etiam ferro aperta est, pus E debet emitti. Turn si qua in alis vel inguinibus sunt, sine linamento nutrienda sunt. In ceteris quoque partibus, si una plaga exigua est, si mediocris suppuratio fuit, si non alte penetravit, si febris non est, si valet corpus, aeque linamenta supervacua sunt. .^ plaga est, In reliquis, parce tamen, nee nisi imponi debent. Commode vero vel super linamenta vel sine his imponitur lentricula ex melle aut malicoriura ex vino coctum quae et per se et mixta F idonea sunt. Si qua circa duriora sunt, ad ea moUienda vel malva contrita vel faeni Graeci linive semen ex passo coctum superdandum est. Quicquid deinde impositum est, non astringi sed modice Illo neminem decipi decet, ut in deligari debet. hoc genere cerato utatur. Cetera quae pertinent ad purgandum ulcus, ad implendum, ad cicatricem inducendam, conveniuntque, in vulneribus (26. 27) exposita sunt. 12 Nonnunquam autem et ex eiusmodi abscessibus et ex aliis ulcerum generibus fistulae oriuntur. Id nomen est ulceri alto, angusto, calloso. Fit in omni fere parte corporis, habetque quaedam in Prius de communibus dicam. singulis locis propria. Genera igitur plura fistularum sunt, siquidem aliae aliae rectae breves sunt, aliae altius penetrant .

.

;

;

'

Constantius inserts magna.

•

148

V. 26. 27.

BOOK

V. 28.

II

D-12

suppuration is completely concealed, if, instead of the signs presented by the skin in other cases, there are stabbing pains. When these signs subside, and the place begins to itch, and is either bluish or greyish, the suppuration has matured and when it has been opened by means of these medicaments or even by the knife, the pus must be let out. Then if there are any abscesses in the armpits or groins, they must be dressed without inserting lint. In other parts also, if there is one small opening, if there has been moderate suppuration, if it has not penetrated deeply, if there is no fever, if the patient is strong, lint is equally superfluous. In other cases lint should be applied, but sparingly, and only if the ;

opening is . It is beneficial, whether lint is used or not, to apply lentil meal with honey, or pomegranate rind boiled in wine these are suitable alone or mixed together. If the parts are hard, they should be softened by applying either pounded mallow or fenugreek or flax seed boiled ;

in raisin wine. Whatever dressing is afterwards applied should not be tight but bandaged on lightly. No one should be misled into applying a cerate in this sort of case. All the other directions for cleaning the ulceration, forming flesh, and inducing a scar have been described in treating of wounds.* Sometimes, again, fistulae arise, both from abscesses of this kind and from other sorts of ulceration. That is the name for a deep, narrow, hardened ulcer. A fistula occurs in almost any part of the body, but in each place it has some peculiarities. I shall speak first of its general characteristics. There are many kinds of fistulae, then, and whilst some are short, others penetrate deeper; some run straight

149

;

CELSUS multoque plures transversae; ab uno

intus feruntur, aliae

aliae simplices sunt, aliae duplices triplitesve

ore intus orsae quae fiunt dividuntur

B

;

;

aut etiam in plures sinus

aliae rectae, aliae flexae et tortuosae

sunt, Aliae intra camem desinunt, aliae ad ossa aut cartilaginem penetrant aut, ubi neutrum horum aliae deinde facile, subest, ad interiora perveniunt aliae cum diflficultate curantur; atque etiam quaedam insanabiles reperiuntur. Expedita curatio in ;

—

fistula simplici recenti intra

camem, adiuvatque ipsum

si firmum est inimica contraria itemque si fistula os vel cartilaginem vel nervum vel musculos laesit si articulum occupavit si vel ad vessicam vel ad pulmonem vel ad vulvam vel ad grandes venas arteriasve vel ad inania, ut guttur, C stomachum, thoracem, penetravit. Ad intestina quoque earn tendere semper periculosum, saepe pestiferum est. Quibus multum mali accedit, si

corpus,

si

iuvenile,

:

his sunt;

;

corpus vel aegrvun vel senile vel mali habitus est. Ante omnia autem demitti specillum in fistulam convenit, ut quo tendat at quam alte perveniat, scire possimus, simul etiam protinus umida an siccior sit ; quod extracto specillo patet. Si vero os in vicino est, id quoque disci potest, iam necne eo .^ penetravit, quatenus nocufistula pervenerit ; Nam si molle est, quod ultimo specillo erit. si contingitur, intra camem adhuc vitium est magis id /enititur, ad os ventum est. Ibi deinde si .

D

.

:

labitur specillum,

nondum

caries est

:

si

non

labitur,

sad aequali innititur, caries quidem, verum adhuc ^

Marx

inserts et si eo.

:

BOOK

V. 28. 12-D

inwards, others, and by far the most numerous, crosswise; some are simple, others beginning by one opening form two or three branches inside or even divide into several passages ; some go straight, others are curved and tortuous. Some end in the flesh, others penetrate to bone or to cartilage, or, when neither of these is underneath, reach to the inner parts ; some, therefore, are treated easily, others with difficulty ; and some are even found to be incurable. The treatment is speedy when the fistula is simple, recent and only involving the flesh, and the body itself helps, when it is youthful and sound contrary conditions are inimical ; also if the fistula has damaged bone or cartilage or sinew or muscles ; if it has involved a joint ; or if it has penetrated either to the bladder or lung or womb or to large veins or arteries or to hollow regions, such as the throat, gullet or thorax. When too the fistula goes towards the intestines it is always dangerous, often deadly. When the body is either sick or aged or in bad condition, the case is much worse. First of all, however, it is proper to pass a probe into the fistula, that we may learn both its direction and depth, and at the same time whether it is moist or rather dry. This is known when the probe is withdrawn. But if there is bone in the neighbourhood, we can also learn whether the fistula has reached and penetrated the bone or not, and how far the damage has gone. For if what is touched by the end of the probe is soft, the disease is still limited to the flesh ; if it

meets with more resistance, the fistula has reached bone. But when the probe shdes smoothly, there is not yet decay; if it does not so slide, but meets with an even surface, there is some decay although 151

;

CELSUS levis est

:

si

E vehementius

inaequale quoque et asperum subest,

est. At cartilage ubi perventumque esse ad earn ex renisu patet. Et ex his quidem colliguntur fistularum sedes, spatia, noxae simplices vero eae

os

exessum

subsit, ipsa sedes docet

:

sint,

an in plures partes diducantur, cognosci potest

ex modo puris

;

cuius

si

quam quod

plus fertur

simplici spatio convenit, plures sinus esse est

;

cumque

nervosa, quales fere tunicae

genus quoque puris docebit,

F

diversa corporis

membranaeque

num

genera perroserint.

etiam corporis inclinatio docet, fistulae

penetrarint,

decubuit aliterve

at ex nervoso

dissimile.

minus Denique

et

num in plures cum quis

saepe

quia

partes aliter

membrum conlocavit, pus ferri quod

iam desierat iterum incipit testaturque non solum alium sinum esse ex quo descendat, sed etiam in aliam corporis partem eum tendere. Sed si et in carne et recens et simplex est, ac neque rugosa neque cava sede neque in articulo, sed in eo membro, quod per se inmobile non nisi cum toto corpore movetur, satis proficiet emplastrum, quod recentibus vulneribus inponitur, dum habeat vel sale vel alumen vel squamam aeris vel aeruginem vel ex metallicis ;

G

Siquidem in ;

quidem eiusdem, sed tenuius

ex nervo pingue et oleo non

sunt,

plures sinus intus

carne pus leve, album, copiosius fertur loco coloris

manifestum

fere iuxta sint caro et nervos et aliqua

152

BOOK

V. 28. 12 i>-o

still slight; if what underlies is uneven also and rough, the bone has become more serionsly eaten away. But the position of the fistula shows where there is underlying cartilage, and resistance to the probe shows when this has been reached. And from these signs we may gather the situation, extent and harmfulness of fistulae whether too they are simple, or have several branches, can be estimated from the amount of pus for if there is more than one opening will account for, it is clear that there are several branches and since generally flesh and sinew and sinewy tissue such as sheaths and membranes are near the fistula, the character of the pus also will show whether the several branches have eaten into other parts of the body. For pus derived from flesh is smooth, white and fairly plentiful ; from sinewy structures it is of the same colour but thinner and less in quantity from sinews it is fatty and not unlike oil. Further also, the bending of the body indicates whether the fistulae have penetrated in several directions, because often when a patient has changed his recumbent posture, or held a limb in a different position, pus which had previously ceased, begins to discharge again; and it then becomes evident, not only that there is another branch from which pus is being discharged, but also that it is tending into another part of the body. But if the fistula is in the flesh, and is recent and simple, and is not tortuous or in a cavity or joint, but in a part which remains still unless moved with the body generally, a suflSciently eifective application is a plaster such as is applied to recent wounds, so long as it is composed of either salt or of alum or of copper scales or of verdigris or some other metallic ;

;

;

;

153

CELSUS

n

I

aliquid; exque eo collyrium fieri debet altera parte tenuius, altera parte paulo plenius ; idque ea parte, qua tenuius est, antecedente demitti oportet in Quae in fistulam, donee purus sanguis se ostendat. omnibus collyris fistularum perpetua sint. Idem

deinde emplastrum in linteolo superinponendum, supraque inicienda spongia est in acetum ante demissa; solvique quinto die satis est. Genusque victus adhibendum est, quo carnem ali docui (V. 14. Ac si longius a praecordis fistula est, ex 26, 30). intervallo ieiunum radiculas esse, deinde vomere necessarium est. Vetustate callosa fit fistula. Callus autem neminem fallit, quia durus est et aut albus aut pallidus. Sed tum validioribus medicamentis opus est quale est, quod habet papaveris cadmiae P. ^ lacrimae P. I cummis P. ^ III nil atramenti sutori P. ^ VIII ex quibus aqua gallae coactis collyrium fit. Aut in quo sunt P. -Jf aeruginis, sandaracae, aluminis Aegypti, singulorum P. >- I atramenti sutori conbusti P. 3- II. Aut quod constat ex chalcitide et saxo calcis, quibus auripigmenti dimidio minus quam eaque melle cocto in singulis prioribus est adicitur excipiuntur. Expeditissimum autem est ex praecepto Megetis aeruginis rasae P. -Jf II conterere, deinde Hammoniaci thymiamatis P. ^ I aceto liquare, eoque infuso aeruginem cogere; idque ex primis medicamentis est. Sed ut haec maximi :

;

•}(•

=

;

;

;

;

=—

:

;

;

;

K

" A tent or collyrium (Low Latin tenta, Greek KoXKvpiov) was material made up with a glutinous paste which was rolled and formed into sticks shaped like vermicelli {collyra). These

were used to dilate a fistula, or the uterus (tcDv fir)Tpa>i> Hippocrates, Diseases of Women, I. 51); or else KoXXovpia. pieces were broken off the stick and dissolved for use {e.g.

154

BOOK

V.

28.

12

G-K

substances; and from this a tent" should be made, thinner at one end, a little thicker at the other. This should be passed into the fistula with the pointed end forwards, and be kept until pure blood shows Such are the general rules for the use of all itself. Next, the same plaster spread on tents for fistulae. lint is put over the place, and over that is applied a sponge dipped in vinegar it is sufficient to change the dressing on the fifth day. The class of food to be used is that which I have prescribed for making flesh,'' And if the fistula is at some distance from the praecordia, the patient should eat radishes at intervals on an empty stomach, and then vomit. A fistula of long standing becomes callous. Now no one can mistake callus, for it is hard and either white or pallid. But there is then need for stronger medisuch as that which has of poppy tears cines 4 grms., gum 12'66 grms., cadmia 16 grms., blacking 32 grms., worked up with water to form a tent. Or else there is the composition containing galls 1 grm., verdigris, sandarach, Egyptian alum, 1-16 grm. each, roasted blacking 2-32 grms. Or that which is composed of copper ore and limestone, with half as much orpiment as of each of the other two and these are taken up in boiled honey. But the quickest remedy is that prescribed by Meges ; rub up verdigris scrapings 8 grms., then dissolve ammoniacum for incense 1'16 grm. in vinegar, and work the verdigris into this infusion and this is one of the best remedies. But whilst the above remedies are ;

:

;

;

as eye salves, VI. 6).

ago such sticks were used in this way. * V. 14. 26, 30.

still

As

lately as thirty or forty years

prepared and pieces broken

off

and

155

CELSUS non adsunt, facile tamen callum quibuslibet adurentibus medicamentis erodere satisque est vel papyrum intortum vel aliquid ex penicillo in modum collyri adstrictum eo inlini. Scilla quoque cocta et mixta cum calce callum exest. Si quando vero longior sed transversa fistula est, demisso specillo contra principium huius incidi commodissimum est, et collyrium utrinque demitti. At si duplicem esse fistulam aut multiplicem existimamus, sic tamen ut brevis intraque effectus sunt, sic, cui ista est

:

L

carnem sit, collyrio uti non debemus, quod unam sed eadem medipartem curet, reliquas omittat camenta arida in calamum scriptorium coicienda ;

sunt, isque ori fistulae aptandus, inspirandumque, ut

M

ea medicamenta intus conpellantur

:

aut

eadem ex

vino liquanda, vel, si sordidior fistula est, ex mulso, si callosior, ex aceto sunt idque intus infundendum. Quicquid inditum est, superponenda sunt, quae refrigerent

et

reprimant

:

nam

fere

quae circa

Neque fistulam sunt, habent aliquid inflammationis. alienum est, ubi qui solverit, antequam rursus alia medicamenta coiciat, per oricularium clysterem fistulam eluere; si plus puris fertur, vino; si callus si iam purgatur, mulso vel aqua, durior est, aceto in qua ervum coctum sit, sic ut huic quoque mellis paulum adiciatur. Fere vero fit, ut ea tunica, quae inter foramen et integram carnem est, victa medicamentis tota exeat, infraque ulcus purum sit; quod ubi contigit, imponenda glutinantia sunt, praecipueque spongia melle cocto inlita. Neque ;

N

156

;; ;

BOOK

V. 28. 12 K-N

the most efficacious, when they are not at hand it is easy to eat away the callus with any of the caustic medicaments; it is enough to smear one of them on rolled papyrus, or upon a pledget of wool twisted into the shape of a tent. Squills boiled and mixed with quicklime also eat away callus. If, however, the fistula is longer but runs crosswise, it is best to insert a probe and to cut down upon its end then a tent is passed into each opening. But if we deem the fistula to be double or multiple, yet only short and confined to flesh, we should not make use of a tent, because it treats one part and omits the rest but the same medicaments, dry, are put into a writing-quill, and that having been placed against the orifice of the fistula is to be blown through, in order that these medicaments may be forced in or the same materials dissolved in wine, or, if the fistula is more foul, in honey wine, or, if more callous, in vinegar, are to be poured in. Whatever is introduced, refrigerants and repressants niust be put on over the wound for generally the parts surrounding the fistula are somewhat inflamed. It is not inappropriate, when changing the dressings and again before inserting fresh medicaments, to wash out the fistula, using an ear syringe with wine if there is much pus with vinegar if there is hard callus if it is already clean, with honey wine or a decoction of vetch, to which also a little honey should be added. Thus it generally happens that that covering which is between the opening and the sound flesh is destroyed by the medicaments and comes quite away, and underneath is a clean ulceration; when this has occurred, agglutinants are appUed, especially a sponge steeped in boiled honey. I am ;

;

;

157 VOL. n.

H

.

:

CELSUS ignoro multis placuisse linamentum compositum tinctum melle demitti glutinat

ne

modum

collyri

sed celerius id

quam

pmum

impletur. Neque verendum est, corpus puro corpori iunctum non coeat

quoque

adiectis

in ;

medicamentis

ad

efficacibus

id

cum saepe

exulceratio digitorum, nisi magna cura prospeximus, sanescendo in unum eos iungat. 13 Est etiam ulceris genus, quod a favi similitudine KYjpLov a Graecis nominatur, idque duas species habet. Alterum est subalbidum, furunculo simile, sed maius et cum dolore maiore. Quod ubi maturescit, habet foramina, per quae fertur umor glutinosus et purulentus ; neque tamen ad iustam maturitatem pervenit. Si divisum est, multo plus intus corrupti quam in furunculo apparet altiusque descendit. .

.

.

^

B Raro

fit

nisi in scapulis.

Alterum

.

.

.^

est

minus

super corpus eminens, durum, latum, subviride, subpallidum, magis exulceratum siquidem ad singulorum pilorum radices foramina sunt, per quae fertur umor glutinosus, subpallidus, crassitudinem Si inciditur, mellis aut visci referens, interdum olei. Dolor autem et inflamviridis intus caro apparet. matio ingens est, adeo ut acutam quoque febrem movere consuerint. Super id, quod minus crebris foraminibus exasperatum est, recte inponitur et ficus arida et lini semen in mulso coctum et emplastra :

—

ac

malagmata materiam educentia, aut quae pro-

G prie

hue pertinentia supra (cap. xii) posui. Super alterum et eadem medicamenta, et farina ex mulso cocta, sic ut ei dimidium resinae terebenthinae * Some words have fallen out; Marx supplies saepe non opus esse videmus after eflicacibus and this is translated. * Marx adds : alterum -

"

A follicular abscess among

hair.

*

V. 12.

;

BOOK

V. 28. 12 N-13 c

not unaware that many favour the insertion of lint formed into a tent and dipped in honey but this agglutinates more quickly than flesh is formed. There need be no fear that clean flesh in contact with clean flesh will fail to unite we see that there is often no need to add medicaments as well to effect this, since often when there is ulceration of the fingers, unless we have taken careful precautions, they become joined together whilst healing. There is besides a class of ulceration which the ;

:

Greeks call K-qpiov'^ from its resemblance to honeycomb, and of this there are two kinds. One is greyish, like a boil, but larger and more painful. As it is maturing, holes appear through which is discharged a glutinous and purulent humour; yet it does not properly mature.

cut into, there appears and it penetrates deeper. It is rare except in the scapular region. The other kind is found only in the head; it projects less above the surface, is hard, broad, greenish or greyishgreen in colour, more ulcerated ; there are holes at the root of each hair, through which is discharged a glutinous greenish-white humour, in consistency like honey or mistletoe-juice, or at times like oliveoil. If it is cut into, the flesh within appears green. The pain also and inflammation are so severe that they generally cause acute fever. On a case which is only irritated by a few openings, suitable applications are a dry fig and linseed boiled in honey wine or plasters or emollients which draw out diseased matter, or the medicaments noted above for such purposes.* For the other form of this, the same medicaments are good, also flour boiled in honey wine mixed with half its quantity of turpentine-resin If

it

is

much more corruption than

in a boil,

159

;;

CELSUS misceatur; et ficus in mulso decocta, cui paulum hysopi contriti sit adiectum et uvae taminiae pars quarta fico adiecta. Quod si parum in utrolibet ;

genere medicamenta proficiunt, totum ulcus usque ad sanam carnem excidi oportebit. Ulcere ablato super plagam medicamenta danda sunt, primum quae pus citent, deinde quae purgent, turn quae impleant. 14 Sunt vero quaedam verrucis similia, quorum diversa nomina ut vitia sunt. Acrochordona vocant, ubi sub cute coit aliquid durius, et interdum paulo asperius, coloris eiusdem, infra tenue, ad cutem latius idque modicum est, quia raro fabae magnitudinem excedit. Vix unum tantum eodem tempore nascitur, sed fere plura, maximeque in pueris eaque nonnumquam subito desinunt, nonnumquam mediocrem inflammationem excitant sub qua etiam B in pus convertuntur. At thymion nominatur, quod super corpus quasi verrucula eminet, ad cutem tenue, supra latius, subdurum et in summo perasperum. Idque summum colorem floris thymi repraesentat, unde ei nomen est, ibique facile finditur et cruentatur nonnumquam aliquantum sanguinis fundit, fereque circa magnitudinem fabae Aegyptiae est, raro maius, interdum perexiguum. Modo unum autem, modo ;

;

plura nascuntur, vel in palmis vel inferioribus pedum Pessima tamen in obscenis sunt maximeque ibi sanguinem fundunt. Myrmecia autem vocantur humiliora thymio durioraque, quae radices partibus.

C

altius lata,

exigunt maioremque dolorem movent infra super autem tenuia, minus sanguinis mittunt :

• Vol. I. 94, note.

* V. 28. 2 C, note. anthill (of. Paulus Aegineta, IV. 15), name given to this sort of wart because the irritation resembled that caused by ants (formicatio). * (ivpix-riKiov,

l6o

an

was the from it

BOOK

V. 28. 13 C-14 c

also a fig boiled in honey wine, to which a little pounded hyssop may be added; also black bryony berries, added to a fig, one part to three. If in either case medicaments are of little service, the whole ulceration ought to be cut away down to the sound flesh. When the ulceration is removed, medicaments are put on the wound, first to promote suppuration, next to clean it, and then to make flesh. There are also certain wart-like ulcerations, different in name and in their ill-effects. They call one acrochordon," when some material which is rather hard and at times somewhat rough, collects under

the skin:

its colour is that of the skin; it is thin underneath, broadening nearer the skin of moderate size, as it is seldom larger than a bean. It is rare to find one alone, but generally there are several, and they are mostly found in children and sometimes they go suddenly, sometimes they cause slight inflammation, and under this they even turn into pus. But that which is named thymion * projects above the surface like a little wart, narrow near the skin, wider above, hardish and at the top very rough. The top in colour is like flowers of thyme, whence its name, and there it is readily split and made to bleed at times the bleeding is considerable it is generally about the size of an Egyptian bean, rarely larger, sometimes quite small. Sometimes one is alone, generally several grow together, either on the palms or soles of the feet. The worst, however, are situated upon the genitals, and there they bleed the most. But those called myrmecia are less prominent and harder than the thymion, their roots are more deeply fixed and they are more painful: they are broad underneath but thin above, they bleed less, ;

;

;

;

'^

161

;;

CELSUS magnitudine vix umquam lupini modum excedunt. Nascuntur ea quoque aut in palmis, aut inferioribus

pedum

dem

D

partibus. Clavus aut em nonnumquam quised in pedibus tamen maxime nascitur,

alibi,

praecipue ex contuso, quamvis interdum aliter; dolorem, etiamsi non alias, tamen ingredienti movet. Ex his acrochordon et thymium saepe etiam per se finiuntur, et quo minora sunt, eo magis. Myrmeeia et clavi sine curatione vix umquam desinunt. Acrochordon, si excissa est, nullam radiculam relinquit, ideoque ne renascitur quidem. Thymio clavoque excissis, subter rotunda radicula nascitur, quae penitus descendit ad carnem, eaque relicta idem rursus exigit.

Myrmeeia

latissimis

inhaerent,

radicibus

ideoque ne excidi quidem sine exulceratione magna possunt. Clavum subinde radere commodissimum est

E

:

nam

sine ulla vi sic mollescit

quoque aliquid emissum

;

ac

si

sanguinis

saepe emoritur. Tollitur etiam, si quis eum circumpurgat, deinde inponit resinam, cui miscuit pulveris paulum, quem ex lapide molari contrito fecit. Cetera vero genera medicamentis adurenda sunt aliisque id, quod ex faece vini ; myrmecis id, quod ex alumine et sandaraca est, aptissimum. Sed ea, quae circa sunt, foliis contegi debent, ne ipsa quoque exulcerentur deinde postea lenticula imponi. ToUit thymium etiam ficus in aqua cocta. At pusulae maxime vernis temporibus oriuntur. Earum plura genera sunt. Nam modo circa totum corpus partemve aspritudo quaedam fit, similis iis pusulis, quae ex urtica vel sudore nascuntur exanthemata Graeci vocant ; eaque modo rubent, est,

;

16

:

"

A

'

i^dvdrjua

com,

= efflorescence,

Hipp. IV. 182 {Aph. VI. 162

V. 28, 2 C.

*

callosity.

9).

blossom

;

cf .

vol.

I.

p.

150

;

BOOK

V. 28. 14C-15

and they scarcely ever exceed the size of a lupin. These also grow either on the palms or soles of the The clavus," again, though occasionally found feet. elsewhere, occurs mostly on the feet, and especially after contusions, although sometimes from other causes it causes pain when walking, though not at ;

other times. Of these the acrochordon and thymion often end of themselves, and the more so the smaller they are. The myrmecia and corns scarcely ever subside without treatment. The acrochordon, if cut off, leaves no trace of a root behind, and so does not sprout again. When the thymion and clavus have been cut off, a small rounded root is formed underneath, which penetrates right down into the flesh, and if this is left behind it sprouts up again. The myrmecia are held by very broad roots, and so cannot be excised without causing a large wound. A corn is best scraped down from for thus, without any violence, it time to time softens, and if also a little blood is let out, it often It is also removed if we clean the part dies away. round it and then put on resin mixed with a little powdered millstone. All the other varieties are to be burnt away by medicaments for some the ash of wine-lees is best ; for myrmecia the application made of alum and sandarach. But the skin all round should be covered with leaves that it also may not become Even ulcerated; afterwards lentil meal is put on. a fig in boiled water removes a thymium.^ Pustules arise chiefly in the spring; there are many kinds. For at times a sort of roughness comes all over the body, or a part of it, resembling the pustules which are set up by nettles or by sweating At times exanthemata*^ the Greeks call them. ;

:

163

: ;

CELSUS B modo

colorem cutis non excedunt,

Nonnumquam

plures similes varis oriuntur, nonnumquam maiores pusulae lividae aut pallidae aut nigrae, aut aliter Ubi naturali colore mutate; subestque his umor. eae ruptae sunt, infra quasi exulcerata caro apparet

phlyctaenae frigore

vel

Graece nominantur. Fiunt vel ex ex igne vel ex medicamentis. Phly-

zacion autem paulo durior pusula est, subalbida, acuta, ex qua ipsa quod exprimitur umidum est. At ex pusulis vero nonnumquam etiam ulcuscula fiunt aut aridiora aut umidiora; et modo tantum cum prurigine, modo etiam cum inflammatione aut dolore; exitque aut pus aut sanies aut utrumque maximeque id evenit in aetate puerili, raro in medio corpore, saepe in eminentibus partibus. ea Pessima pusula est, quae epinyctis vocatur colore vel sublivida vel nigra vel alba esse consuevit. et Circa banc autem vehemens inflammatio est cum adaperta est, reperitur intus exulceratio mucDolor ex ea supra cosa, colore umori suo similis. magnitudinem eius est neque enim ea faba maior ;

C

:

;

:

Atque haec quoque oritur in eminentibus partibus et fere noctu unde nomen quoque a Graecis est.

;

D

ei

inpositum

est.

—In omnium vero pusularum cura-

primum est multum ambulare atque exerceri quid ista prohibet, gestari. Secundum est cibum minuere, abstinere ab omnibus acribus et extenuantione si

eademque

nutrices facere adfectus est. Praeter robustus est, si pusulae minutae balneo debet, simulque super eas

tibus

puer

:

ita

" XvKTaivai *

164

oportet,

haec

is,

lactens qui iam

si

sunt, desudare in nitrum inspergere

— bubbles or blisters.

irnvvKTis, night pustule, e.g.

from a bugbite.

;

BOOK

V. 28. 15-D

they are red, at times no redder than the colour of the skin; sometimes a number occur resembling pimples, sometimes the pustules are larger, livid or pallid or black or otherwise changed from the natural colour ; and there is humour underneath them. When these have burst the flesh below looks as if it were ulcerated; in Greek these are called phlyctaenae.* They are produced either by cold or by heat or by medicaments. A phlyzacion is a somewhat harder pustule, whitish and pointed, from which moisture is squeezed out. But after pustules at times small ulcerations arise, either dry or moist, sometimes attended only by itching, sometimes also by inflammation and pain the discharge is either pus or sanies or both this generally occurs in children, seldom on the trunk, often on the extremities. The worst kind of pustule is that called epinyctis * its colour is usually livid or black or white. And there is severe inflammation round it ; and when laid open a mucous ulceration is found within, of a colour like its own humour. It gives greater pain than its size would suggest ; for it is no larger than a bean. And this too grows on the extremities, and generally by night, whence also the name applied to it by the Greeks. Now in all kinds of pustules, the treatment first is much walking and exercise and if anything prevents these, then rockings. Next food must be diminished, all things acrid and thinning avoided; and the same treatment should be applied to nursing women, if the sucking baby is so affected. Moreover, the patient who is robust, if the pustules are small, ought to go to the bath and sweat, and at the same time to dust the pustules with soda and to mix wine with oil and anoint ;

;

;

165

;

CELSUS oleoque vinum miscere et solium.

in

E

Si

nihil

sic

sic

ungui

;

proficitur,

turn descendere aut si maius

pusularum genus occupavit, imponenda lenticula est, detractaque summa pellicula ad medicamenta lenia transeundum est. Epinyctis post lenticulam recte herba quoque sanguinali vel viridi coriandro curatur. Ulcera ex pusulis facta tollit spuma argenti cum semine feni Graeci mixta, sic ut his invicem rosa atque intubi sucus adiciatur, donee mellis crassitude Proprie ad eas pusulas, quae infantes male ei fiat. habent, lapidis, quem pyriten vocant, P. ^ VIlI cum

quinquaginta amaris nucibus miscetur, adiciunturque Sed prius ungui ex cerussa pusulae debent, tum hoc inlini. cutis rubicunda, ex qua 16 Scabies vero durior pusulae oriuntur, quaedam umidiores, quaedam sicciores. Exit ex quibusdam sanies, fitque ex his continuata exulceratio pruriens serpitque in quibusdam cito. Atque in aliis quidem ex toto desinit, Quo in aliis vero certo tempore anni revertitur. asperior est quoque prurit magis, eo difficilius tollitur; itaque eam, quae talis est, agrian [id est B feram] Graeci appellant. In hoc quoque victus ratio eadem quae supra (15 D) necessaria est medicamentum autem ad incipientem hanc idoneum est, quod fit ex spodi, croci, aeruginis, singulorum P. 9- I piperis albi, omphaci, singulorum P. -Jf I ; cadmiae olei cyathi tres.

:

;

—

:

P.

3-

VIII.

ubi iam exulceratio est, id,

quod

fit

Scabies, originally a roughening or hardening of the skiiL

"

See note *

to

At

c.

The name ^tipa aypia

(ipwpa

— scab),orAeVpa, was applied

many skin diseases, including leprosy (Lev. XXI.

l66

20, septua-

BOOK

V. 28. 15 i>-i6b

himself, after which he goes down into the hot bath. If this does no good, or if the pustules are of the larger kind, lentil meal should be applied, and after the upper skin has been detached, we

must

pass

on

to

medicaments.

soothing

The

epinyctis, after lentil meal application, is appropriately treated by means of polygonum or green coriander. Ulcerations caused by the pustules are

by litharge mixed with fenugreek seeds, and endive juice being added in turn until the mixture becomes of the consistency of honey. For the pustules which affect infants apply pyrite stone 9*3 grms., mixed with fifty bitter almonds, and 125 c.cm. of oil added. But first the pustules should be anointed with white-lead, then smeared with the relieved rose-oil

:

above.

But scabies" is harder: the skin is ruddy, from which the pustules grow up, some moist, some dry. From some of these sanies escapes and from them comes a persistent itching ulceration, which in ;

And whilst in some pervanishes completely, in others it returns at a definite time of the year. The rougher the skin, and the more the itching, the more difficult is its relief. Hence the Greeks call such scabies, agria* [that is, savage]. In this case also the same regimen as that given above is necessary at the beginning a suitable application is that composed of sublimed zinc oxide, saffron, verdigris 1'16 grms. each; white pepper and omphacium 4 grms. zinc oxide ore 9*3 grms. But when ulceration already exists that comsome cases rapidly spreads. sons

it

;

'^

;

The term scabies is now up by the itch insect (sarcoptes " V. 28. 15D.

gint).

restricted to the pustules set scabiei).

167

; :

GELSUS ex sulpuris P.

I ; cerae P. 9- IIII ; picis liquidae sextaris duobus ; quae simul incocuntur, dum crassitude mellis sit. Est etiam quod ad Protarchum auctorem refertur. Habet farinae lupinorum S.L ; nitri cyathos IIIIS. ; picis liquidae heminam; resinae umidae selibram; aceti cyathos tres.

hemina

C

9-

olei

;

Crocum

Lycium,

aerugo, murra, cinis miscentur, et ex passo cocuntur idque omnem pituitam ubique sustinet. Ac si nihil aliud est, amurca ad tertiam partem decocta vel sulpur pici liquidae mixtum, sicut in pecoribus proposui, hominibus quoque scabie laborantibus opitulantur. Minime 17 Inpetiginis vero species sunt quattuor. mala est, quae similitudinem scabie repraesentat nam et rubet et durior est et exulcerata est et roditur. Distat autem ab ea, quod magis exulcerata est et varis similis pusulas habet videnturque esse in ea quasi bullulae quaedam, ex quibus interposito tempore squamulae resolvuntur certioribusque hoc temB poribus revertitur. Alterum genus peius est, simile papulae fere, sed asperius rubicundi usque ; figuras varias habet squamulae ex summa cute discedunt celerius et latius procedit certioribusrosio maior est acquis

quoque,

portionibus

recte

;

;

;

;

;

que etiamnum quam prior temporibus et fit et desinit rubrica cognominatur. Tertia etiannum deterior est nam et crassior est et durior et magis tumet in summa cute finditur et vehementius roditur. Ipsa ;

"

V. 18. 8. Ceisi Agriculturae Fragmenfa Marx, p. 11 (Frag. XXXIV.). « Impetigo. The present meaning of impetigo is ill defined the word is probably derived from the sudden onset (impetus) of some forms of skin disease. Celsus here appears to be describing a form of eczema or lichen on skin diseases see also V. 26. 20 B, C, D. *

:

:

t68

BOOK

V. 28. 16 B-17 B

posed of sulphur I-IG grm,, wax 4-65 grms., liquid oil one litre ; these are heated together until they are of the consistency of honey. There is also the composition ascribed to Protarchus." It consists of half a litre of lupin meal, 190 c.cm. of soda, 250 c.cm. of liquid pitch, liquid resin 168 grms., and 125 c.cm. of vinegar. Also a suitable mixture is saffron, lycium, verdigris, myrrh, and charcoal in equal proportions boiled in this checks everywhere all discharge raisin wine And when there is nothing else at of phlegm. hand, lees of olive-oil boiled down to one-third, or sulphur mixed with liquid pitch, as I have suggested for cattle is also of service for men suffering from pitch 250 c.cm.,

;

''

scabies.

The least bad Impetigo,'^ again, has four species. that which presents a resemblance to scabies ; for there is redness and some hardness and ulceration and erosion. But it is distinguished from scabies because there is more ulceration and there are pustules like pimples, and in it is seen an appearance as of small bubbles from which after a time little scales are detached ; and this recurs at fixed seasons. The second kind is worse, almost like a pimple, but rougher and redder; it has various shapes small scales are detached from the skin surface there is more erosion it spreads more rapidly and widely, and both comes and goes at fixed seasons even more markedly than the previous sort it is called ruhrica.^ The third kind is worse still for it is thicker, harder and there is more swelling ; there are cracks in the skin and more active erosion. This form also is scaly, is

;

;

;

;

:

** The colour of red earth or ochre {rubrica), of the diseased area.

was

like that

169

;

GELSUS quoque squamosa sed nigra proceditque et late nee et minus errat in temporibus, quibus aut nigrae oritur aut desinit neque ex toto tollitur C cognomen est. Quartum genus est, quod curationem omnino non recipit, distans colore nam subalbidum squamulasque habet est et recenti cicatrici simile pallidas, quasdam subalbidas, quasdam lenticulae ;

tarde;

:

:

;

similes, quibus demptis nonnumquam profluit sanguis. Alioqui vero umor eius albidus est, cutis dura atque proceditque latius. Haec vero omnia fissa est genera maxime oriuntur in pedibus et manibus ;

atque

non

ungues

infestant. Medicamentum quam quod ad scabiem quoque

quoque

aliud valentius est

pertinere sub auctore Protarcho retuli (28, 16 C). Serapion autem nitri P. 9- II, sulpuris P. 9- IIII excipiebat resina copiosa, eaque utebatur. 18 Papularum vero duo genera sunt. Alterum est in quo per minimas pusulas cutis exasperatur et rubet medium habet pauxillo levius, leviterque roditur Idque vitium maxime rotundum tarde serpit. Altera incipit, eademque ratione in orbem procedit. autem est, quam agrian [id est feram] Graeci appellant in qua similiter quidem sed magis cutis exasperatur exulceraturque, ac vehementius et roditur et rubet et interdum etiam pilos remittit. B Minus rotunda est, difficilius sanescit: nisi sublata Sed levis papula etiam, est, in inpetiginem vertitur. maior si ieiuna saliva cotidie defricatur, sanescit: commodissime murali herba tollitur, si sub ea detrita est. Ut vero ad composita medicamenta veniamus, idem illud Protarchi (28, 17 C) tanto valentius in his est, quanto minus in his viti est. :

;

" The description here given by Celsus is approximately that of lichen circumscriptus and lichen anulatus.

170

BOOK

V. 28. 17 B-18 B

It spreads widely and not the times at which it increases or subsides, and is never quite got rid of: its name is black impetigo. The fourth kind, which is

but the scales are black.

slowly.

It varies less in

quite incurable, differs in colour, for it is whitish and like a recent scar, and has small pallid or whitish scales ; some are like lentils, and when these are removed there is sometimes bleeding. Otherwise its humour is white, the skin hard and chapped; it spreads widely. Now all these kinds occur generally on the hands and feet; they also attack the nails. There is no more efficacious remedy than that which I have mentioned above as prescribed by Protarchus But Serapion used soda 2*32 grms., for scabies. and sulphur 4*64 grms., taken up with plenty of resin.

Of

papules again there are two kinds." There is which the skin is roughened by very small pustules, and is reddened and slightly eroded in the middle it is a little smoother it spreads slowly. This disease generally has a round shape at its beginning, and in the same fashion it spreads in a circle. But the other variety is that which the Greeks call agria [that is, savage] and in this there is a similar but greater roughness of the skin with ulceration, more severe erosion, and redness sometimes it even loosens the hair. It is less round in shape, heals with more difficulty, and unless it is got rid of, turns into an impetigo. But in fact a slight papule heals if it is rubbed daily with spittle before eating a more severe one is got rid of best by an application of pounded But turning to compound medicaments, pellitory. that same one of Protarchus is efficacious in these An alternacases, when the disorder is less severe.

one

in

;

;

;

;

;

171

;:

CELSUS Alterum ad idem Myronis nitri rubri, turis, singulcantharidum purgatarum P. ^ II P, ^ I sulpuris ignem non experti tantundem resinae :

orum

;

;

^ XX

terebenthinae liquidae P. farinae loli S. Ill gitti cyathos HIS. picis crudae S.I. 19 Vitiligo quoque quamvis per se nullum periculum adfert, tamien et foeda est et ex malo corporis habitu fit. Eius tres species sunt. Alphos vocatur, ubi color albus est, fere subasper, et non continuus, ut quaedam quasi guttae dispersae esse videantur. Interdum etiam latius et cum quibusdam intermisB sionibus serpit. Melas colore ab hoc difFert, quia niger est et umbrae similis cetera eadem sunt. Leuce habet quiddam simile alpho, sed magis albida est, et altius descendit, in eaque albi pili sunt et lanugini similes. Omnia haec serpunt, sed in aliis celerius, in aliis tardius. Alphos et melas in quibusdam variis temporibus et oriuntur et desinunt leuce quem occupavit, non facile dimittit. Priora curationem non difficillimam recipiunt, ultimum vix umquam sanescit ; ac si quid ei vitio demptum est, C tamen non ex toto sanus color redditur. Utrum autem aliquod horum sanabile sit, an non sit, experimento facile coUigitur. Incidi enim cutis debet aut acu pungi si sanguis exit, quod fere fit in duobus ;

;

;

~

:

:

prioribus, remedio locus est;

si

umor

albidus, sanari

non potest itaque ab hoc quidem abstinendum est. Super id vero, quod curationem recipit, inponenda lenticula mixta cum sulpure et ture, sic ut ea contrita ;

Under the name vitiligo Celsus describes varieties of Alphos, named from its dull white colour which resembled that of leprosy, was probably psoriasis guttata. The different colour of melas was perhaps only due to dirt. "

psoriasis.

Leuce, the bright white form, regarded as practically incur-

172

:

BOOK

V. 28. 18 B-19 c

the same affection is the composition of containing red soda and frankincense, 4 grms. each, purified cantharides 8 grms., sulphur unheated, the same amount, and turpentine resin 80 grms., darnel meal a litre and a half, cumin 145 c.cm., and half a litre of raw pitch. Vitiligo" also, though not dangerous in itself, is still ugly and is due to a bad habit of body. There are three species. It is called alphos when it is white in colour, generally rather rough, and not continuous, so that it looks as if drops of some sort had been sprinkled about. Sometimes also it spreads still more widely with certain gaps. That called melas differs from it in being of a black colour and like a shadow ; otherwise it is similar. Leuce is somewhat like alphos, but is whiter and extends deeper ; there are hairs on it, white, and like down. All these spread, but more quickly in some people than in others. The alphos and melas come and go at various seasons the leuce, once established, is not easily got rid of. The two former are not difficult to treat, the latter is scarcely ever cured, for even if the discoloration is mitigated, the colour of health does not return altogether. But whether any one of these is curable or not is easily learnt by this test. The skin should be cut into or pricked with a needle if blood escapes, which it usually does in the first two species, there is place for a remedy ; if a whitish humour, cure is impossible, and then we should even refrain from treating it. But to the species which admits of treatment we should apply lentil meal, mixed with sulphur and frankincense, pounded tive

for

Myron

;

able, may have been only a more severe and intractable of a disease which still often resists all remedies.

form

173

; ; :

CELSUS ex aceto sint. Aliud ad idem, quod ad Irenaeum auctorem refertur: alcyonium, nitrum, cuminum, fici folia arida paribus portionibus contunduntur

D adiecto deinde

aceto.

non

His in sole

ita

multo

vitiligo

post,

perunguitur, erodatur, auctore eos,

ne nimis

eluitur. Proprie quidam Myrone quos alphos vocari dixi, hoc medicamento perungunt

sulpuris

P.

•Jf=

^=z=;

—

;

aluminis

scissilis

P.

-Jf

=

murti aridae contritae acetabulum miscent ; deinde in balneo super vltiliginem inspergunt farinam ex faba, turn haec inducunt. li vero, quos melanas vocari dixi, curantur, cum simul contrita sunt alcyoneum, tus, hordeum, faba; eaque sine oleo in balineo ante sudorem insperguntur turn genus id vitiliginis defricatur. nitri P.

174

;

BOOK

V.

28.

19 c-D

up together in vinegar. Another application for the same purpose, ascribed to Irenaeus, is composed of coral, soda, cumin and dried fig-leaves, in equal quantities, pounded up with vinegar added. The vitiligo is smeared with this in the sun, then it is soon washed corrode too much. Some find it useful to anoint the species which I have said is called alphos with the following prescription ascribed to Myron:" they mix sulphur 1 grm., split alum 0-66 grm., soda 1-33 grms. with a cupful of dried myrtle leaves ; then at the bath they dust bean-meal over the vitiligo and afterwards apply the above off, lest it

remedy. That which I said was termed melas is treated by pounding up together coral, frankincense, barley and bean-meal and these are sprinkled on, using no oil in the bath before the patient sweats then this kind of vitiligo is rubbed off. ;

«

V. 28. 18 B.

175

BOOK

VI

:

LIBER

VI

1. Dixide iis vitiis,quae per totum corpus orientia medicamentorum auxilia desiderant (V. 26, 27, 28): nunc ad ea veniam, quae non nisi in singulis par-

tibus incidere consuerunt, orsus a capite. In hoc igitur capillis fluentibus maxime

quidem

saepe

radendo succurritur. Adicit autem vim quandam ad continendum ladanum cum oleo mixtum. Nunc de iis capillis loquor, qui post morbum fere fluunt: nam quominus caput quibusdam aetata nudetur, succurri nuUo modo potest. 2. Porrigo autem est, ubi inter pilos quaedam quasi squamulae surgunt haeque a cute resolvuntur et interdum madent, multo saepius siccae sunt. Idque evenit modo sine ulcere, modo exulcerato loco, huic quoque modo malo odore, modo nullo accedente. Fereque id in capillo fit, rarius in barba, aliquando

etiam in supercilio. Ac neque sine aliquo vitio corporis nascitur neque ex toto inutile est nam bene integro capite non exit. Ubi aliquod in eo vitium est, non incommodum est summam cutem :

—

"

V. 26. 27. 28. * Porrigo means scurf or dandruff, and the name was given to conditions, such as seborrhoea or eczema capitis, where there was excessive detachment of such scales from the scalp. The word, according to Pliny, N.H. XX. 9. 29. furfur, bran, and the corresponding Greek name for the condition,

=

178

;

BOOK

VI

1, I HAVE spoken of those lesions which affect the whole body and require the aid of medicaments " now I come to those which customarily occur only

beginning with the head. In the head, then, when the hair falls out, the principal remedy is frequent shaving. Ladanum mixed with oil, however, is some help in preserving it. I am now referring to the falling out of hair after illness ; for no kind of remedy can be given to stop the head of some people from becoming bald through in particular parts,

age. 2. But the condition is called porrigo,** when between the hairs something like small scales rise up and become detached from the scalp and at times they are moist, much more often dry. Sometimes this happens without ulceration, sometimes there is a locaUzed ulceration, and from this comes sometimes a foul odour, sometimes none. This generally occurs on the scalp, more seldom on the beard, occasionally even on the eyebrow. It does not arise unless there is some general bodily lesion, so that it is not entirely without its use for it does not exude from a thoroughly sound head. When there is present some lesion in the head, it is not disadvan:

;

tageous for the surface of the scalp to become here mrvpiaois, still used.

had the same derivation {mrvpa,

bran),

and

is

179

:

GELSUS quam id quod nocet in aliain partem magis necessariam verti. Commodius est ergo subinde pectendo repurgare quam id ex toto prohibere. Si tamen ea res nimium offendit, quod umore sequente fieri potest, magisque si is etiam

potius subinde corrumpi

mali odoris est, caput saepe radendum est, dein id super adiuvandum aliquis ex leviter reprimentibus, quale est nitrum cum aceto, vel ladanum cum

murteo

et

vino,

parum per haec

cum

vel

myrobalanum cum

proficitur,

vino.

vehementioribus

Si

uti licet

eo ut sciamus utique in recenti vitio id inutile

esse. 3. Est etiam ulcus, quod a fici similitudine sycosis a Graecis nominatur caro excrescit. Et id quidem generale est sub eo vero duae species sunt alterum ulcus durum et rotundum est, alterum umidum et :

:

:

Ex duro exiguum quiddam et glutinosum exit, ex umido t sumplus ^ et mali odoris. Fit utrumque in is partibus, quae pilis conteguntur sed id quidem, quod callosum et rotundum est, maxime in barba, id vero, quod umidum, praecipue in capillo. Super utrumque oportet inponere elaterium aut lini semen contritum et aqua coactum aut inaequale.

—

ficum

in

aqua decoctam aut emplastrum tetraex aceto subactum terra quoque

pharmacum

;

Eretria ex aceto liquata recte inlinitur. 4. ^

and

sunt.

Commune

conjectures

copiosum pus

Arearum quoque duo genera

The

text here is corrupt

;

Marx

this is translated.

avKcoais was so named by Heraclides of Tarentum because the diseased area resembled the interior of a ripe fig. When the disease occurred on the beard it was known as chm disease, mentagra. It was said by Pliny (N.H. XXVI. 1 2, 3) to have been recently imported from Asia and to be "

.

contagious.

i8o

;

BOOK

VI.

2.

1-4.

I

and there corrupted, rather than for the harmful material to be diverted thence to another part of more importance. Hence it is more beneficial from time to time to clear the scalp by combing, than to repress the disorder altogether. But if this condition is too troublesome, which may happen when a discharge of humour has set in, and especially if this is malodorous, the head is to be shaved often, after which one of the mild repressants is applied, such as soda in vinegar, or ladanum in myrtle oil and wine, or bennut oil with wine. If there is little benefit from these measures it is permissible to use stronger ones, whilst bearing in mind that, at any rate when the disease is of recent origin, this is not a good thing. 3.

There

is

also

an ulceration, called sycosis

"

by

the Greeks from its resemblance to a fig a sprouting up of flesh occurs. That is the general description but there are two subordinate species in one the ulceration is indurated and circular, in the other moist and irregular in outline. From the hard species there is a somewhat scanty and glutinous discharge ; from the moist the discharge is abundant and malodorous. Both occur in those parts which are covered by hair but the callous and circular ulceration mostly on the beard, the moist form, on the other hand, chiefly on the scalp. In both it is good to apply elaterium, or pounded linseed worked up in water, or a fig boiled in water, or the plaster tetrapharmacum * moistened with vinegar also Eretrian earth dissolved in vinegar is suitable :

:

;

;

for

smearing on. Bald spots'^ also are of two kinds.

4.

In both,

See V. 19. 9. these the term " areae Celsi " has often been applied medical works in reference to this description.

* '

in

To

181

CELSUS utrique

est,

quod emortua summa

pellicula

primum extenuantur, deinde excidunt

;

ac

si

pili

ictus

locus est, sanguis exit liquidus et mali odoris. Increscitque utrumque in aliis celeriter, in aliis tarde peius est id quod densam cutem et sub2 pinguem et ex toto glabram fecit. Sed ea, quae alopecia nominatur, sub qualibet figura dilatatur. Est et in capillo et in barba. Id vero, quod a similitudine ophis appellatur, incipit ab occipitio ; duorum digitorum latitudinem non excedit ad aures duobus capitibus serpit, quibusdam etiam ad frontem, donee se duo capita in priore parte committant. Illud vitium in qualibet aetate est, hoc fere in infantibus. Illud vix umquam sine curatione, hoc 3 per se saepe finitur. Quidam haec genera arearum scalpello exasperant quidam inlinunt adurentia ex is

;

;

—

:

maximeque

chartam conbustam quidam resinam terebenthinam cum thapsia inducunt. Sed oleo,

:

nihil melius est quam novacula cottidie cum paulatim summa pellicula excisa

untur

pilorum

desistere,

radiculae

;

neque

quam frequentem pilum

Id autem, quod subinde raditur,

radere, quia, est, adaperi-

ante

oportet

nasci apparuerit. inlini

atramento

scriptorio satis est. 5. Paene ineptiae sunt curare varos et lenticulas et ephelidas, sed eripi tamen feminis cura cultus.

non potest.

sui

Ex

his

autem, quas supra posui,

lenticulaeque vulgo notae sunt ; quamvis rarior ea species est, quam semion Graeci vocant, vari

" oXcoireKia

= mange

in a fox (dXcov-q^). resemblance to the track of a serpent {ois). Sabouraud described the occurrence of this disease in 1 9 Paris school children (Monatechrift. f. prakt. Dermatol. 1898, 87. *

From

439, 3).

182

its

BOOK

VI.

4.

1-5.

I

owing to the dying of the surface pellicle, hairs are first rendered thin, and then they fall out and when the place is cut into, the blood which flows is thin and malodorous. Both kinds spread, in some ;

quickly, in others slowly the worse kind is that in which the skin has become thick, somewhat fatty, and quite smooth. But that which is named alopecia " ;

spreads without defined configuration. It occurs in the hairy scalp or in the beard. That again which is called from its shape ophis,^ commences at the back of the head, and without exceeding two fingers in breadth, creeps forward to the ears with two heads, in some even to the forehead, until the two heads join one another in front. The former aifection occurs at any age, the latter generally in young children. The former scarcely ever terminates, except under treatment, the latter often by itself. Some scarify these bald patches with a scalpel ; sonae smear on caustics mixed with oil, and especially burnt papyrus ; some apply turpentine-resin with fennel. But there is nothing better than to shave the part daily with a razor, because as the surface skin is gradually removed, the hair roots become exposed ; and the treatment should continue until a number of hairs are seen to be growing up. Following upon the shaving it is sufficient to smear on Indian ink. 5. To treat pimples and spots and freckles is almost a waste of time, yet women cannot be torn away from caring for their looks. But of these just mentioned, pimples and spots are commonly known, although that species of spot is more rare which is called by the Greeks semion,'' since it is '

oTnt^lov,

a birth mark, uaevus.

183

CELSUS cum

sit ea lenticula rubicundior et inaequalior. Ephelis vero a plerisque ignoratur, quae nihil est nisi asperitas quaedam et durities mali coloris. 2 Cetera non nisi in facie, lenticula etiam in alia parte

nonnumquam

nasci solet de qua per se scribere visum operae pretium non est. Sed vari commodissime tolluntur inposita resina, cui non minus quam ipsa est aluminis scissilis, et paulum mellis adiectum est. Lenticulam tollunt galbanum et nitrum, cum pares portiones habent contritaque ex aceto sunt, donee ad mellis crassitudinem venerint. His corpus inlinendum et interpositis pluribus horis [mane] eluendum est oleoque leviter unguendum. 3 Ephelidem toUit resina, cui tertia pars salis fossilis et paulum mellis adiectum est. Ad omnia ista vero atque etiam ad colorandas cicatrices potest ea compositio, quae ad Tryphonem patrem auctorem refertur. In ea pares portiones sunt myrobalani magmatis, cretae Cimoliae subcaeruleae, nucum amararum, farinae hordei atque ervi, struthi albi, sertulae Campanae seminis. Quae omnia contrita melle quam amarissimo coguntur, inlitumque id ;

alio loco

vespere

mane

—

eluitur.

Sed haec quidem mediocria

sunt. Ingentibus vero et variis casibus oculi nostri patent qui cum magnam partem ad vitae simul et usum et dulcedinem conferant, summa cura tuendi sunt. Protinus autem orta lippitudine quaedam notae sunt, ex quibus quid eventurum sit colligere possumus. 6.

;

"

o^OaXfiia of Hippiluita for X-ijfirj, rheum; aspritudo for Tpaxoifia, which was used to denote chronic conjunctivitis, ophthalima and trachoma, the Celsiis uses lippitudo to translate the

pocrates

184

= running or blear eyes (o^^oA/aoi Xrjfiwvrts);

BOOK

VI.

5.

1-6.

I

rather red and irregular. Freckles are, in fact, ignored by most; they are nothing more than a roughened and indurated discoloration. Whilst the others occur only on the face, a spot sometimes also appears on other parts of the body of that by itself I do not think it worth while to write elsewhere. But pimples are best removed by the application of resin to which not less than the same amount of split alum and a little honey has been added. A spot is removed by equal quantities of galbanum and soda pounded in vinegar to the consistency of honey. With this the part is to be smeared, and after the lapse of several hours, [the next morning,] it is washed off, and the place anointed lightly with oil. Freckles are removed by resin to which a third part of rocksalt and a little honey has been added. For all the above and also for colouring scars that composition is useful which is said to have been invented by Trypho the father. In this are equal parts of the dregs of bennut oil, bluish Cimolian chalk, bitter almonds, barley and vetch meal, along with white soapwort and mellilot seeds. These are all rubbed up together with very bitter honey, smeared on at night and washed away in the morning. 6. Now the foregoing are subjects of minor importance. But there are grave and varied mishaps to which our eyes are exposed and as these have so large a part both in the service and the amenity of life, they are to be looked after with the greatest care. Now directly ophthalmia* sets in, there are certain signs by which it is possible to foretell the course of the disease. For if lacrima;

;

eye diseases general among eastern races. For the whole chapter cf. Hippocrates (Prorrhetica II. 18) Littre IX. 44.

185

CELSUS

Nam

si

simul et lacrima et tumor et crassa pituita

coeperint,

si

ea pituita lacrimae mixta est,

lacrima calida non

est, pituita

si

ea

vero alba et mollis,

tumor non durus, longae valetudinis metus non est, si lacrima multa et calida, pituitae paulum, tumor modicus est, idque in uno oculo est, longum Idque lippitudinis id, sed sine periculo futurum est. genus minime cum dolore est, sed vix ante vicensimum diem tollitur, nonnumquam per duos menses Quandoque finitur, pituita alba et mollis durat. At si simul ea incipit esse, lacrimaeque miscetur. utrumque oculum invaserimt, potest esse brevior, sed periculum ulcerum est. Pituita autem sicca et arida dolorem quidem movet, sed maturius desinit, C nisi quid exulceravit. Tumor magnus si sine dolore

B At

est et siccus, sine ullo periculo est

sed

cum

ex eo casu

Eiusdem est,

ubi

lacrima

si

fit,

ut palpebra

cum

siccus

quidem,

nonnumquam

oculo glutinetur.

exulcerationis timor in palpebris pupillisve

super

magnum

dolorem lacrimae salsae

calidaeque eunt, aut etiam,

D

:

dolore est, fere exulcerat, et

cum

si

pituita profluit.

tumore

[in] finito

diu

Peius etiamnum est,

ubi pituita pallida aut livida est, lacrima calida et

multa

profluit,

caput calet, a temporibus ad oculos

dolor pervenit, nocturna vigilia urget, siquidem sub

oculus plerumque rumpitur, votumque est, ut tantum exulceretur. Intus ruptum oculum febricula Si foras iam ruptus procedit, sine auxilio est. iuvat. his

i86

;

BOOK tion

VI.

6.

i-D

and swelling of the eyelids and a thick rheum all at once if that rheum is mixed with tears,

appear

:

the tears are not hot, but the rheum is white and bland, and the swelling not hard, there is then no apprehension of a prolonged illness. But if lacrimation is profuse and hot, rheum scanty, swelling moderate, and that in one eye only, the case will be a prolonged one, but without danger. And that kind of ophthalmia is the least painful, but is seldom relieved before the twentieth day, and at times lasts two months. As it subsides, the rheum begins to be white and bland, mixed with tears. But if both eyes are attacked simultaneously, the duration may possibly be shorter, but there is danger of ulceration. Now rheum, when it is dry and sticky, gives rise to some pain, but subsides sooner unless ulceration is set up. If there is great swelling without pain and dryness, there is no danger if there is dryness, accompanied by pain, there is generally ulceration, and at times the result is that the eyelid sticks to the eyeball. There is danger of similar ulceration in the eyelids or in the pupils when, in addition to great pain, the tears are salt and hot or if, even after the swelling has subsided, there continues for some time a flow of tears mixed with rheum. The case is worse still when the rheum is pallid or livid, the tears hot and profuse, the head hot, and pain shoots from the temples to the eyes, causing wakefulness at night in these circumstances generally the eyeball ruptures, and we must pray that there may be ulceration only. When the eyeball has ruptured inwards a touch of fever is beneficial. If the eyeball protrudes after rupturing outwards, there is no remedy. If something white if

;

;

187

:

CELSUS

E

Si

de nigro aliquid albidum factum

at

si

asperum

vestigium sanguinis

aliquod

relinquit.

manet

—Curari

Hippocrates

auctor

vero

oculos

medicamento, balneo, vino

detractione,

vetustissimus didit

est, diu

et crassum est, etiam post curationem

memoriae pro-

sed eorum tempora et causas parum explicuit,

:

in quibus medicinae

summa

Neque minus in Hos

est.

abstinentia et alvi ductione saepe auxilii est.

interdum

igitur

tumore

inflammatio

occupat,

cum

ubi

in his dolor est, sequiturque pituitae cursus

nonnumquam

copiosior

vel

utraque parte moderatior.

F omnium

acrior,

nonnumquam

In eiusmodi casu prima

Ergo primo die sermone quoque abstineat; nullum cibum adsumere, si fieri potest, sunt quies et abstinentia.

loco obscuro cubare debet, sic ut a

ne aquam quidem;

mum

eius.

secundo die mittendus firmo

;

si[n] minus, certe quam miniQuod si graves dolor es sunt, commodius si tamen res urget, etiam primo sanguis

est, utique, si in

corpore

materia

fronte venae tument,

superest.

Si

impetus, minus acrem curationem requirit

G

sed non

nisi

secundo tertiove

satisque

Neque tamen sarium

est,

est

his

quiete

et

id,

At

auxilium deabstinentia.

longum ieiunium neces-

ne pituita tenuior atque acrior

secundo die dari debet i88

uti

lippientibus

alvum,

die, duci oportet.

modica inflammatio neutrum ex siderat,

;

si

minor

vero

fiat

quod levissimum

:

sed

videri

;

BOOK

VI.

6.

I

v-Q

has developed from the dark part of the eye, it persists for a long while ; but if it is rough and thick, some vestige remains even after treatment. According to Hippocrates, the oldest authority, the treatment of the eyes includes bloodletting, medicaments, the bath and wine but he gave little explanation of the proper times and reasons for these remedies, things of the highest importance in the art of medicine. There is no less help, often, in abstinence and clysters. Now at times inflammation seizes the eyes, and there is pain in them together with swelling, and there follows a flow of rheum, sometimes rather profuse or acrid, sometimes in both respects rather moderate. In such a case, rest in bed and abstinence are the chief remedies. From the first day, therefore, the patient should lie in bed in a dark room, and at the same time he should refrain even from talking take no food at all, and if feasible not even water, or at any rate the least possible amount. If the pains are severe, it is better that he should be bled on the second day, but when urgent this may be done even on the first day, at any rate if the veins on the forehead are swollen, and if there is superfluity of matter in a robust patient. But if the attack is less violent, it requires less drastic treatment the bowel should be clystered, but only on the second or third day. But moderate inflammation requires neither blood-letting nor clystering, it is sufficient for the patient to stay in bed and fast. A prolonged abstinence, however, is not necessary in patients with ophthalmia, for it may render the rheum thinner, and more acrid hence some of the lightest kind of food should be given on the second day, such as seems likely to ;

;

:

189 VOL.

II.

I

CELSUS quae pituitam faciunt crassiorem; si minor vis urget, pulticula quoque aut panis ex lacte. Insequentibusque diebus quantum inflammationi detrahetur, tantum adici cibis poterit, sed generis eiusdem utique ut nihil salsum, nihil acre, nihil ex iis, quae extenuant, sumatur, nihil potui praeter aquam. Et vietus potest

ex

iis,

qualia sunt ova sorbilia

:

;

H

quidem ratio talis maxime necessaria est. Protinus autem primo die croci P. -Jf I, et farinae candidae quantum tenuissimae P. ^ II, excipere oportet ovi albo, donee mellis crassitudinem habeat, idque in linteolum inlinere, et fronti adglutinare, ut conpressis venis pituitae impetum cohibeat. Si crocum non

idem

facit. Linteolo an lana excipiatur, nihil Superinungui vero oculi debent, sic ut croci quantum tribus digitis conprehendi potest, sumatur ; murrae ad fabae, papaveris lacrimae ad lenticulae magnitudinem ; eaque cum passo conterantur, et specillo super oculum inducantur. Aliud ad idem murrae P. -^f mandragorae suci P. }(• I papaveris lacrimae P. -X- II foliorum rosae, cicutae seminis, singulorum P. -Jf III ; acaciae P. -Jf nil cummis P. ^ VIII. Et haec quidem interdiu: nocte vero, quo commodior quies veniat, non alienum est superinponere candidi panis interiorem partem ex vino subactam nam et pituitam reprimit, et, si quid lacrimae processit, absorbet, et oculum glutinari non patitur. Si grave id et durimi propter magnum oculorum dolorem videtur, ovi et

est, tus

I interest.

:

—

K

;

;

;

;

:

" Cf. V. 1, p. 4 which includes acacia and cummis among medicaments which suppress haemorrhage. Acacia must mean 190

:;

BOOK

VI.

6.

G-K

I

render the rheum thicker for instance, raw eggs in a less severe case, porridge also or bread soaked in milk. On the following days, according as the inflammation subsides, additional food may be taken, but of the same class certainly nothing salted, or acrid, or likely to make the rheum thinner should be consumed, and nothing but water drunk. Such a dietetic regimen is exceedingly necessary. But from the first day, saffron 4 grms. and the finest wheat flour 8 grms. should be made up with white of egg to the consistency of honey, then spread on lint and stuck on the forehead, in order that by compressing the veins the flow of rheum may be checked. If saffron is not at hand, frankincense has the same effect. Whether it is spread on linen, or on wool, makes no difference. There should be smeared over the eyeball, of saffron as much as can be taken up in three fingers, of myrrh in amount the size of a bean, of poppy-tears the size of a lentil these are pounded up in raisin wine, and applied on a probe to the eyeball. Another composition having the same efficacy is made up of: myrrh 0-33 grms., mandragora juice 4 grms.; poppy-tears 8 grms. rose-leaves and hemlock seeds 12 grms. each; acacia" 16 grms.; gum 32 grms. These applications are made by day; at night, in order better to assure sleep, it is not inappropriate to apply above the eye, the crumb of white bread soaked in wine for this at once represses rheum, and absorbs any flow of tears, and prevents the eye from becoming glued up. If this application, owing to the great pain in the eye, seems oppressive and hard, ;

;

;

;

the gum prepared from the acacia shrub aud cumtnis some other gum probably mecca balsam.

—

191

CELSUS album

et vitellus in vas

dumque

L

defundendum

est, adicien-

mulsi paulum, idque digito permiscendum. Ubi facta unitas est, demitti debet lana mollis bene carpta, quae id excipiat, superque oculos inponi. Ea res et levis est et refrigerando pituitam coercet, et non exarescit, et glutinari oculum non patitur. Farina quoque hordeacea cocta, et cum malo Cotoneo cocto mixta commode inponitur neque a ratione abhorret etiam penicillo potissimum uti expresso, si levior impetus est, ex aqua, si maior, ex posca. Priora fascia deliganda sunt, ne per somnum cadant at hoc superinponi satis est, quia et reponi ab ipso commode potest, et,

eo

;

:

M

cum

inaruit,

iterum madefaciendum

est.

tantum

Si

somnum

diu prohibeat, eorum aliquod dandum est, quae anodyna Graeci appellant satisque puero quod ervi, viro quod fabae magnitudinem impleat. In ipsum vero oculum primo die, nisi modica inflammatio est, nihil recte coicitur saepe enim potius concitatur eo pituita quam minuitur. A secundo die gravi quoque lippitudini per indita medicamenta recte succurritur, ubi vel iam sanguis missus vel alvus ducta est, aut neutrum necessarium

mali est, ut

;

:

esse manifestum est. 2

Multa autem multorumque auctorum coUyria ad nunc mixturis temperari possunt, cum lenia medicamenta et modice repri-

id apta sunt, novisque etiam

mentia

facile et varie

misceantur.

Ego

nobilissima

exequar.

"

V. 25. 1-3.

*

For the meaning

192

of collyrium see p. 154, note a.

BOOK

VI.

6.

I

K-2

eggs, both the white and the yolk, are poured into a vessel, a little honey-wine added, and the mixture stirred with the finger. When thoroughly mixed, soft well-combed wool is soaked in it and the wool then applied over the eyes. This is both a light application and one which by cooling checks rheum, yet does not quite dry it up, and so the eye is not allowed to become glued up. Boiled barley-meal, mixed with boiled quinces, is also a suitable application; nor is it inconsistent with the treatment, even to put on a pad of wool wrung as hard as possible out of water, if the attack is a lighter one, or out of vinegar and water, if it is more severe. The former applications are to be bandaged on, so that they do not fall off during sleep the latter it suffices to lay on because it can be changed readily by the patient ;

himself, and when it becomes dry, it must be wetted again. If the affection is so severe as to prevent sleep, for a time one of the remedies which the

Greeks

call anodyna " should be administered, an amount the size of a vetch to a child, that of a bean to a man. For the eyeball itself there is no appro-

on the first day, unless the inflamonly moderate, for by such the flow of rheum is often stimulated rather than lessened. From the second day, even when the disease is severe, the direct application of medicaments is proper, when blood has been let or clystering applied, or after it has become evident that neither is needed. Now for this disease there are many salves * devised by many inventors, and these can be blended even now in novel mixtures, for mild medicaments and moderate repressants may be readily and variously mingled. I will mention the most famous. priate application

mation

is

193

;

CELSUS 3

Est igitur Philonis, quod habet cerussae elotae, cummis, singulorum P. ^ I papaveris lacrimae conbustae P. -Jf II. Illud scire oportet, hie quoque omnia medicamenta singula primum per se teri, deinde mixta iterum adiecta paulatim vel aqua spodii,

vel alio

;

umore

cummi cum quasdam

:

alias facultates

habeat, hoc maxime praestare, ut, ubi collyria facta inaruerunt, glutinata sint neque frientur. Dionysi vero collyrium est papaveris lacrimae 4 :

=

turis comcombustae, donee tenerescat, P. -Jf I busti, cummis, singulorum P. -Jf S spodii P. -Jf IIII. ;

;

5

Cleonis frictae

quibus

admodum

nobile

cum

:

^=

papaveris

lacrimae

^

cummis P. P. I ; teruntur adicitur rosae sucus. Aliud

P. 4f I

croci

;

squamae aeris, quod stomoma eiusdem valentius croci P. -Jf II ; spodii P. -Jf IIII appellant, P. -Jf I plumbi eloti et combusti P. -Jf VI ; cummis tantunB dem. Attalium quoque ad idem est, maxime ubi castorei P. -Xaloes multa pituita profluit ; I ; murrae P. II ; Lyci P. croci P. P. -Sf ; cadmiae curatae P. -X- VIII ; stibis tan4f III ; XII. Quod cum cummis tundem, acaciae suci P. quid hoc non habet, liquidum in puxidicula servatur. Theodotus vero huic compositioni adiecit papaveris aeris combusti et lacrimae combustae P. "Jf ; nucleos palmularum combustos P. eloti P. "Jf II ; XII. cummis P. ; 6 At ipsius Theodoti, quod a quibusdam acharistum nominatur, eiusmodi est : castorei, nardi Indici, Lyci P, .jf papaveris singulorum P. I ; ; lacrimae tantundem ; murrae P. 4(- II; croci, cerussae :

;

—

:

=

^

^

^

—

^X

^

^

" *

Hardened in the fire. "Ungrateful" relieving so quickly that the patient

no gratitude for

194

=

:

his cure (Galen, XII. 749).

felt

;

BOOK

VI.

3-6

6.

There is then the salve of Philo, which contains : washed cerussa, spode and gum 4 grms. each poppy;

tears toasted 8 grms. It is important to know that each of these ingredients should be pounded separately, then mixed together, gradually adding water, or some other fluid. Gum, amongst other properties, has this particular advantage, that when salves made of it have become dry, they stick together and do not break up. The salve of Dionysius consists of: poppy-tears toasted until they soften 4-66 grms., toasted frankincense and gum 2 grms. each, and zinc oxide 16 grms. The salve of Cleon is quite famous : poppy-tears toasted 4 grms., saffron 0-66 grms., gum 4 grms., to which after being pounded is added rose juice. The same man prescribed another more active salve scales of the copper which is called stomoma " 4 grms. ; saffron 8 grms. ; zinc oxide 16 grms. lead washed and roasted 24 grms. ; with a like quantity :

;

of gum. There is also for the same complaint the salve of Attalus especially when the rheum is profuse castoreum 0-33 grms. lign-aloes 0-66 grms. saffron 4 grms. ; myrrh 8 grms. lycium 12 grms. prepared zinc oxide 32 grms. a hke quantity of antimony sulphide and acacia juice 48 grms. And when no gum is added it is preserved liquid in a small receptacle. Theodotus added to the above mixture poppy-tears toasted 0*33 grms. ; copper scales roasted and washed 8 grms. ; toasted date kernels 40 grms. ; gum 48 grms. The salve of Theodotus himself, which by some is called achariston,^ is composed of castoreum and Indian nard 4 grms. each lycium 0-66 grm. an equal amount of poppy-tears ; myrrh 8 grms. saffron, ;

:

;

;

:

:

;

;

;

195

;;

CELSUS elotae,

aloes,

^ VIII

P. -Jf III ; cadmiae boconbusti, singulorum P. XVIII ; acaciae suci P. -Jf

aeris

cummis P. ^ tantundem quibus aqua

stlbis

7

singulorum

elotae,

truitidis ;

;

XX

pluvia[ti]lis adicitur.

Praeter haec ex frequentissimis collyriis est id, quidam cycnon, quidam a cinereo colore tephron appellant amuli, tracantae, acaciae suci, cummis, singulorum P, ^ I ; papaveris lacrimae P. II cerussae elotae P. ^ IIII ; spumae elotae VIII, quae aeque ex aqua pluvia[ti]li conP.

quod

:

^ ^

;

teruntur.

autem,

Euelpides

8

qui

aetate

nostra

maximus

medicus, utebatur eo, quod ipse conposuerat trygodes nominabat castorei P. ^ ; Lyci, nardi, papaveris lacrimae, singulorum P. -Jf I croci, murrae, aloes, singulorum P. -Jf IIII aeris combusti P. ^ Villi cadmiae et stibis, singulorum fuit ocularius

==

:

:

;

;

^

P.

XII

;

acaciae

suci

P.

-Jf

XXXVI

;

cummis

tantundem.

B

Quo

gravior vero quaeque inflammatio est, eo medicamentum debet adiecto vel albo ovi vel muliebri lacte. At si neque medicus neque medicamentum praesto est, saepius utrumUbet horum in oculos penicillo ad id ipsum facto infusum id mialum lenit. Ubi vero aliquis relevatus est, iamque cursus pituitae constitit, reliquias fortasse leniores futuras discutiunt balneum et vinum. Igitur lavari debet leviter ante oleo perfricatus diutiusque in cruribus et feminibus, multaque calida aqua fovere oculos deinde per caput prius calida,

magis

C

leniri

;

The

was stamped with the likeness of mentioned also by Galen, Alexander of Trallea and Aetius. It was also known as the ashen (re'^piov) salve, from its colour due to the litharge (black oxide of lead and silver) which it contained. "

a swan

196

;

KVKvdpiov KoXXvpiov

it is

;;

BOOK

VI.

6.

6-8 c

washed white lead and lign-aloes 12 grms. of each cluster-shaped oxide of zinc, washed and roasted copper scales 32 grms. each gum 72 grms. acacia juice 80 grms. the same amount of antimony sulphide, to which is added rain-water. Besides the above, among the most commonly used salves is that which some call cycnon,*' others from its ashen colour tephron, which contains starch, tragacanth, acacia juice, gum 4 grms. each; poppy-tears 8 grms. washed cerussa 16 grms. washed litharge 32 grms. These ingredients likewise are compounded with rain-water. Euelpides, the most famous oculist of our time, used a salve of his own composition called trygodes * : castoreum 1-33 grms. lycium, nard and poppy-tears 4 grms. each saffron, myrrh and lign-aloes 16 grms. each ; roasted copper scales 36 grms. ; oxide of zinc and antimony sulphide 48 grms. ; acacia juice 144 grms. ; the same amount of gum. The more severe the inflammation, the milder should the application be made, by adding to it white of egg or woman's milk. But if neither doctor nor medicine is at hand, either of the above, dropped into the eye with a little screw of lint prepared for the purpose, often relieves the trouble. But when the patient has been relieved and the discharge of rheum is already checked, any slight symptoms which remain may be got rid of by making use of the bath and of wine. Therefore when at the bath the patient should be first rubbed. over gently with oil, especially over the legs and thighs, and he should bathe his eyes freely with hot water, next hot water should be poured over his head, followed ;

;

;

:

;

;

;

*

So called from its resemblance to rpv^ (Latin/aea;) wine lees. 197

CELSUS deinde egelida perfundi frigore

afflatuve

pleniore

:

a balineo cavere ne quo

laedatur;

post

haec cibo paulo

quam ex eorum dierum consuetudine tamen

omnibus pituitam Vinum bibere lene, subausterum, neque effuse neque timide, ut neque et tamen somnus fiat lenianturque vitatis

D

uti

extenuantibus.

modice vetus, cruditas ex eo intus

latentia

maiorem oculorum perturbationem quam attulerat, quod incidere iis solet, qui manente adhuc pituitae cursu festinarunt, acria.

Si quis in balineo sensit

quam primum

discedere debet, nihil eo die vini

adsumere,

minus etiam quam

cibi

cum primum

satis pituita substitit,

balinei redire.

Solet

pridie.

Deinde

iterum ad usum

tamen evenire nonnumquam

tempestatium vitio sive corporis, ut pluribus diebus neque dolor neque inflammatio et minime pituitae cursus finiatur. Quod ubi incidit iamque ipsa vetustate res matura est, ab his iisdem auxilium petendum est [id est balineo et vino]. Haec enim sive

E

ut in recentibus malis aliena sunt, quia concitare ea

possunt et accendere, aliis auxiliis

cesserunt,

sic in veteribus,

admodum

quae

nullis

efficacia esse con-

alibi, cum secunda vana fuerunt, contrariis adiuvantibus. Sed ante tonderi ad cutem convenit, deinde in balineo aqua calida quam plurima caput atque oculos fovere,

suerunt, videlicet hie quoque ut

" i.e. *

the period of his

illness.

Secunda remedia were the ordinary remedies, those which

followed the rule laid down in the text-books of the time, and were contrasted with contraria remedia (vol. I. p. 38).

198

BOOK by tepid water

VI.

6.

8 c-E

after the bath he must take care that not harmed by cold or draught subsequently he should use a diet rather fuller than had been customary for those days," whilst avoiding everything which may render the rheum thinner. He should drink mild wine, not too dry, and moderately old, taking it neither too freely nor too sparingly, so that, without causing indigestion, it may nevertheless induce sleep, and mollify the internal latent acrid humour. If at the bath the patient feels the trouble in the eyes becoming worse than before he entered, which often happens to those who have hurried on to this course of treatment whilst there is still a discharge of rheum, he ought immediately to leave the bath, take no wine that day, and less food even than on the previous day. Afterwards, as soon as the flow of rheum has subsided sufficiently, he may return again to the use of the bath. Nevertheless, from the fault of the weather, or of the patient's constitution, it often happens that for many days neither the pain nor inflammation is checked, and least of all the discharge of rheum. When this occurs and the affection is now established by reason of its long standing, recourse must be had to these same remedies [that is, the bath and wine.] For whilst they are unsuitable early in the complaints because they can then irritate and stir up inflammation, yet in inveterate cases which have not yielded to other remedies, they are quite effectual, that is to say, in this as in other instances, when ordinary remedies * have proved useless, contrary ones are beneficial. But beforehand the patient should be shaved down to the scalp, then in the bath he should foment both his head and eyes with plenty of hot water, next

he

is

;

:

199

;

CELSUS tum utrumque

ungere caput continereque in lectulo se, donee omnis calor, qui eonceptus est, finiatur desinatque sudor, qui necessario in capite coUectus est. Tum ad idem cibi vinique genus veniendum, sic ut potiones meracae sint ; obtegendumque caput et quiescendum. Saepe enim post haec gravis somnus, saepe sudor, saepe alvi deiectio pituitae cursum finit. Si levatum malum est, quod aliquanto saepius fit, per plures dies idem fieri oportet, donee ex toto sanitas restituatur. Si diebus iisdem alvus nihil reddit, ducenda est, quo irino

F

G

magis

unguento

penicillo detergere, et

;

superiores

partes

leventur.

Nonnumquam

autem ingens inflammatio tanto impetu erumpit, ut oculos sua sede propellat proptosin id, quoniam :

oculi procidunt,

Graeci appellant.

His utique,

patiuntur, sanguinem mitti potest, alvum duci, longioremque vires

si

;

si

non

id fieri

inediam indici necessarium est. Opus autem lenissimis medicamentis est, ideoque Cleonis collyrio quidam, quod ex duobus ante (5 init.) positum est, utuntur sed optumum est Nilei, neque de ullo magis inter omnes :

9

auctores convenit. Id habet nardi Indici, papaveris lacrimae, singu-

lorum

P.

^—

;

cummis

P.

foliorum rosae recentium P. pluvia[ti]li, vel vino leni,

-Jf

•}(•

I

croci

;

IIII

;

quae

subaustero

^

P. vel

II

aqua

coguntur,

Neque alienum est malicorium vel sertulam Campanam ex vino coquere, deinde conterere aut murram nigram cum rosae foliis miscere aut ;

;

" TTpoTTTOiais is not found in any extant works of earlier authors as a description of the eye condition to which the name is still applied, though this passage of Celsus shows that it was so used in Greek writers on medicine. * VI. 6. 5 A.

;

BOOK

VI.

8 E-9

6.

clean both with a Httle roll of lint, and anoint the head with iris ointment and he should keep to his bed until all the heat so produced has ended, and the sweat which of necessity has collected in the head has passed off. He is then to take food and wine of the same sort as above, drinking the wine undiluted and he must rest with the head wrapped For often after these measures a sound sleep, up. or a sweat, or a clearance of the bowel, terminates the discharge of rheum. If, as more often happens, the malady is in some measure relieved, the same regimen is pursued for a number of days until recovery is completed. If, meanwhile, the bowels do not act, clysters are given to relieve the upper parts of the body. But occasionally a violent inflammation breaks out with so much force as to push forwards the eyes out of their place the Greeks call this proptosis,** because the eyes drop forwards. In these cases especially, if the strength allows of it, blood is to be let if that is impracticable, then a clyster and prolonged abstinence should be prescribed. The blandest medicaments are required hence some use that salve of Cleon's* which has been noted above, as consisting of two ingredients, poppy-tears and gum, but the best is the salve of Nileus,"^ and this point is agreed on by all authorities. This salve consists of Indian nard and poppy-tears 0-33 grm. each. gum 4 grms. saffron 8 grms. ; fresh rose leaves 16 grms,, which are mixed up in rainwater or in a rather mild wine. And it is not out of place to boil pomegranate rind or melilot in wine and then pound it or to mix black myrrh with rose leaves, :

;

:

;

.

;

;

;

Mentioned also by Galen, De Comp. Med., XII. 765. «

sec. loc.

IV.

201

CELSUS hyoscyami

B

folia

cum

ovi vitello cocti aut farinam

cum

acaciae suco vel passo aut mulso;

folia

quoque papaveris adiciuntur, aliquanto valen-

tiora sunt.

quibus

si

Horum aliquo praeparato penicillo fovere

oculos oportet ex aqua calida expresso, in

qua ante deinde ex

vel murti vel rosae folia decocta sint;

Praeter haec ab occipitio incisa

aliquid inponi.

illis

cute cucurbitula adhibenda

modo

est.

prolapsus permanet, scire

amissum

Quod

sedem suam non

restitutus oculus in

si

per haec

eodemque oportet lumen esse est

deinde futurum ut aut indurescat

;

in pus vertatur.

Si suppuratio se ostendit

is

aut

ab eo

angulo, qui tempori propior est, incidi oculus debet,

ut efFuso pure et inflammatio ac dolor finiatur, et

quo minus foeda postea facies vel his collyriis est ex lacte aut ovo, vel croco ^ vel cui album ovi misceatur. At si induruit et sic emortuus est, ne in pus verteretur, quatenus foede prominebit, excidendum erit, sic ut»hamo summa tunica adprehendatur, infra id scalpellus incidat tum eadem medicamenta erunt coicienda, donee omnis dolor finiatur. lisdem medicamentis in eo quoque oculo utendum est, qui prius intus tunicae residant,

C

Utendum deinde

sit.

.

.

.

;

procidit, dein per plura loca fissus est. 10

Solent etiam carbunculi ex inflammatione nasci,

nonnumquam bris,

et

in

exteriore. ^

—In

ipsis

hoc casu alvus ducenda

Marx adds by conjecture the tuords

this is translated

202

nonnumquam in palpemodo ab interiore modo ab

in ipsis oculis,

his

est,

cibus

vel per ae after croco,

and

»

;

BOOK

VI.

6.

9-IO

or hyoscyamus leaves with the yolk of a boiled (^gg, or flour with acacia juice and raisin wine or honeyed wine if poppy-tears too be added to these, they are ;

rendered somewhat more active. Having prepared one of the above, the eyes should be swabbed with a small screw of lint, wrung out in a hot decoction of myrtle or rose leaves and then one of the salves placed in them. Furthermore, after incising the skin of the occiput, a cup is to be applied there. But if the eye is not restored into position by the above remedies, but remains pushed forward as before, it should be recognised that its sight is lost and that the eyeball will harden or will be converted into pus. If suppuration shows itself in the corner nearest the temple, the eyeball should be cut into, in order that by letting out the pus, both inflammation and pain may be ended, and the coats of the eyeball may recede, so that the patient's looks afterwards may be less disfigured. There should then be applied either one of the above salves with milk or egg, or saffron, either by itself or mixed with white of egg. But if the eyeball has grown hard and is dead, but not converted into pus, so much of it is to be cut out as projects in an ugly fashion for this purpose the sclerotic coat is seized with a hook, and the scalpel cuts under it then the same medicaments are to be inserted until all pain has stopped. Use is to be made of the same medicaments for an eye which has first prolapsed, and then has split open in several places. It is also customary for inflammation to give rise to carbuncles, sometimes upon the actual eyeballs, sometimes upon the eyelids, either on the inner or on the outer surface of these. When this occurs, the ;

;

203

;

CELSUS minuendus, leniantur. pertinet, is

lac potui

dandum, ut

acria quae laeserunt et medicamenta

Quod ad cataplasmata

utendum, quae adversum inflammationem 8 B. 26. 27). Atque hie (6, 1 E

—

proposita sunt

collyrium optimum est si tamen carbunculus in exteriore palpebrae parte est, ad

quoque

Nilei

:

cataplasmata aptissimum est lini semen ex mulso ; aut si id non est, tritici farina eodem mode

coctum cocta. 11

Pusulae

quoque

Quod

ex

inflammatione

interdum

inter initia protinus incidit, magis etiam servanda sunt, quae de sanguine et quiete supra proposui (1 EF, 8 F) : sin serius quam ut sanguis mitti possit, alvus tamen ducenda est si id quoque aliqua res inhibet, utique victus ratio

oriuntur.

12

si

servanda est. Medicamentis autem hue quoque lenibus opus est, quale Nilei, quale Cleonis est. Id quoque, quod Philalethus vocatur, hue aptum est murrae, papaveris lacrimae, singulorum P. -Jf I plumbi eloti, terrae Samiae, quae aster vocatur, tracanti, singulorum P. -Jf IIII stibis cocti, amuli, singulorum P. ^ VI spodi eloti, cerussae elotae, singulorum P. -Jf VIII. Quae aqua pluvia[ti]li excipiuntur. Usus collyrii vel ex ovo vel ex lacte est. Ex pusulis ulcera interdum fiunt ea recentia aeque lenibus medicamentis nutrienda sunt, et iisdem fere, quae supra in pusulis posui (V. 28, 15 E). Fit quoque proprie ad haec quod dia libanu vocatur. Habet aeris combusti et eloti, papaveris lacrimae frictae, :

;

;

13

;

—

« «

" '

204

» VI. 6. 2. V. 6. 8 G, 9 A. Potter's clay from Samos ; it was stamped with a star. V. 28. 15 E. Sid Xifidvov SO called because it contained frankincense.

;

BOOK

VI.

6.

10-13

patient should be clystered, the food diminished,

and milk given as drink, in order to mollify the acrid matter which is doing harm. As regards poultices and medicaments, what has been prescribed for inflammation must be used. And here again the salve of Nileus « is best but when the carbuncle is on the outer surface of the eyelid, the most suitable poultice is one of linseed boiled in honeyed wine, or, if that is not at hand, flour boiled in the same. Pustules are also an occasional consequence of inflammation. If this happens early during the first stage, the blood-letting and rest prescribed :

if above should be even more strictly enforced later than the stage when blood-letting is possible, the bowels, nevertheless, should be clystered; and if anything should prevent this also, at any rate the regimen as to diet should be followed. For this condition also soothing medicaments are necessary, such as those of Nileus and Cleon. Also the salve * named after Philalethus is suitable, consisting of: myrrh and poppy-tears 4 grms. each washed lead, Samian earth called aster,'' and tragaboiled antimony sulphide canth 16 grms. each and starch 24 grms. each washed oxide of zinc and washed cerussa 32 grms. each. These are made up with rain-water. The salve is used either with white of egg or milk. From pustules ulcerations sometimes arise. These when recent are likewise to be treated by mild apphcations, generally by the same as I have prescribed above for pustules.** That which is dia libanu * is specially prepared for the called above condition. It is composed of roasted and washed copper, and parched poppy-tears 4 grms. ;

;

;

*

'

205

;

CELSUS singulorum P. ^ I spodi eloti, turis, stibis combusti et eloti, murrae, cummis, singulorum P. ^ II. 14 Evenit etiam, ut oculi vel ambo vel singuli minores fiant quam esse naturaliter debeant idque et acer ;

;

pituitae cursus in lippitudine

parum bene

fletus et ictus

iisdem

curati.

medicamentis

lenibus

utendum

efficit

et continuati

— In

ex

his

quoque

muliebri

lacte

vero is, qui maxime corpus alere et inplere consuerunt vitandaque omni modo causa, quae lacrimas excitet, curaque domesticorum est

;

cibis

;

quorum

15

etiam,

si

quid tale incidit, [eius] notitiae

subtrahendum. Atque acria quoque medicamenta et acres cibi non alio magis nomine his nocent, quam quod lacrimas movent. Genus quoque viti est, quom inter pilos palpe-

brarum

peduculi

nominant.

nascuntur

pthiriasin

:

Quod cum ex malo

raro non ultra procedit.

Sed

Graeci

corporis habitu fere

tempore

fiat,

inter-

posito pituitae cursus acerrimus sequitur, exulcera-

tisque

vehementer

corrumpit.

—His

aciem quoque ipsam ducenda est, caput ad cutem

oculis

alvus

tondendum, diuque

cotidie ieiunis perfricandum his ambulationibus aliisque exercitationibus diligenter utendum gargarizandum ex mulso, in quo nepeta et pinguis ficus decocta sit ; saepe in balineo multa aqua calida fovendum caput vitandi acres cibi, lacte vinoque pingui utendum, bibendumque liberaUus quam edendum est. Medicamenta vero intus quidem lenia danda sunt, ne quid acrioris pituitae ;

;

B

;

• i.e.

206

any worry

likely to cause tears.

;

BOOK

VI.

13-15 B

6.

each washed zinc oxide, frankincense, roasted and washed, antimony sulphide, myrrh, and gum ;

8 grms. each.

happens too that the eyeballs, either both or become smaller than naturally they ought to

It

one,

be. An acrid discharge of rheum in the course of ophthalmia causes this, also continuous weeping, and an injury improperly treated. In these cases the same mild applications mixed with woman's milk should also be used, and for food, that which is most nourishing and body-building. In every way any cause which may excite tears must be avoided, and anxiety about home affairs also, knowledge of which, if anything of that sort has arisen," must be kept from the patient. And acrid medicaments and sour food do harm in these cases, chiefly because of the tears which they excite. There is also a kind of disorder in which lice are born between the eyelashes the Greeks call it phthiriasis. Since this comes from a bad state of health it seldom fails to get worse but usually in time a very acrid discharge of rheum follows, and if the eyeballs become severely ulcerated, it even destroys their vision. In these cases the bowel should be clystered, the head shaved to the scalp, and rubbed for a good while daily whilst the patient fasts walking and other exercises should be diligently practised he should gargle honey wine in which mint and ripe figs have been boiled; at the bath the head should often be freely fomented with hot water, acrid food avoided, milk and sweet wine should be taken, with more drink than food. Medicaments administered internally should be bland lest they stimulate the acridity of the rheum ;

;

;

;

207

;

CELSUS super ipsos

vero peduculos alia, quae prohibere, ne similes nascantur, possint. Ad ipsum spumae nitri P. -Jf sandaracae P. -Jf uvae taminiae P. •}(• I simul ; teruntur, adiciturque vetus oleum pari portione atque acetum, donee mellis ei crassitudo sit. 16 Hactenus oculorum morbi ^ lenibus medicamentis nutriuntur. Genera deinde alia sunt, quae diversam curationem desiderant, fereque ex inflammationibus nata, sed finitis quoque his manentia. Atque in primis in quibusdam perseverat tenuis pituitae cursus ; quibus alvus ab inferiore parte evocanda est, demendum aliquid ex cibo. Neque alienum est inlini frontem conpositione Andriae, quae habet cummis P. cerussae, stibis, singulorum P. I II B spumae argenti coctae et elotae P. -Jf IIII, Sed ea spiima ex aqua pluvia[ti]li coquitur, et arida haec medicamenta ex suco murti conteruntur. His inlita fronte cataplasma quoque superiniciendum est ex farina, quae frigida aqua coacta sit, cuique aut acaciae sucus aut cupressus adiecta sit. Cucurbitula quoque inciso vertice recte adcommodatur aut ex temporibus sanguis emittitur. Inungui vero eo C debet, quod habet squamae aeris, papaveris lacrimae, singulorum P. I ; cervini cornus conbusti et concitent,

necare

eos,

et id

—

—

^

;

^

;

:

^

eloti,

plumbi

turis P.

dia

tu

eloti,

XII. ceratos

nominatur.

^ Marx conjectures fallen out after morbi;

"

Sia Tov

mucus and 208

that

the

^

Quotienscumque

words

IIII

habet,

non

reperiuntur qui have

V. d. Linden supplies qui.

boiled stag's horn yielded a glutinous mentioned by Galen as a bland application;

Keparos: is

cummis, singulorum P.

Hoc coUyrium, quia cornu

"Jf

BOOK

VI.

6.

15 B-16 c

other medicaments too are put upon the lice themthem and prevent any more from being born. For this purpose soda-scum 0-33 grm., sandarach 0-33 grm. and black bryony berries 4 grms. are pounded up together, with equal proportions of old oil and vinegar, until of the consistency of honey. The preceding cUseases of the eyes are treated with bland applications. Next come other classes which require a different treatment, and they usually originate from inflammation, but also persist after the inflammation has subsided. And first in some cases there is a thin discharge of rheum which persists in these the bowel is to be clystered, and the amount of food somewhat reduced. And it is not inappropriate to smear the forehead with the composition of Andrias ; this consists of gum 4 grms., cerussa and antimony sulphide 8 grms. each, litharge heated and washed 16 grms. But the litharge must be boiled in rain-water, and the dry ingredients pounded up in myrtle juice. When the forehead has been smeared with this, a poultice is put on of flour made into a paste with cold water, to which is added acacia juice or cypress oil. It is also useful to apply a cup to the top of the head after making an incision, or blood may be let from the temples. The following ointment should be used copper scales and poppy-tears 4 grms. each stag's horn calcined and washed, washed lead, and gum, 16 grms. each frankincense, 48 grms. This salve, because it contains horn, is called dia tu keratos." Whenever selves in order to kill

;

:

;

;

it is

to be distinguished from

comu cervinum ustum,

stag's horn yielding calcium oxide, quicklime, for cleaning wounds, V. 5. 2.

incinerated

which was used

209

;

CELSUS adicio,

quod genus umoris adiciendum

sit,

aquam

intellegi volo. 17

Ad idem Euelpidis, quod memigmenon nominabat. In eo papaveris lacrimae et albi piperis singulae unciae sunt cummis libra P. aeris combusti P. -5^ I S. Inter has autem curationes post intermissiones aliqua prosunt balineum et vinum. ;

;

Cumque omnibus lippientibus vitandi cibi qui extum praecipue, quibus tenuis umor diu fertur. Quod si iam fastidium est eorum, quae

tenuant,

pituitam crassiorem reddunt (sicut in hoc genere materiae maxime promptum est), confugiendum est ad ea, quae, quia ventrem, corpus quoque adstringunt. .^ non At ulcera, si cum inflammatione finita . sunt, aut supercrescentia aut sordida aut cava aut certe Vetera esse consuerunt. Ex his supercrescentia coUyrio, quod memigmenon vocatur, optime reprimuntur sordida purgantur et eodem et eo, 19 quod zmilion nominatur. Habet aeruginis P. •}{ IIII

18

,

:

cummis tantundem

Hammoniaci, mini Sinopici, singulorum P. -Jf XVI ; quae quidam ex aqua, quidam, quo vehementiora sint, ex aceto terunt. 20 Id quoque Euelpidis, quod pyrron[a] appellabat, hue utile est croci P. -Jf I papaveris lacrimae, cummis, singulorum P. -Jf II aeris combusti et eloti, murrae, singulorum P. }(• IIII piperis albi P. "Jf VI. Sed ante leni, tum hoc inunguendum est. ;

:

;

;

;

^

Marx

inserts

" ne/uyfievov '

after finita,

—mixed

KoXXvpiov

Zmilion (amXiov, the

in its effect.

210

saaata

and

this is translated.

salve.

little scalpel)

was sharp as a knife

BOOK

VI.

i6 C-20

6.

I do not name the kind of fluid to be added, I would have water to be understood. For the same purpose there is the salve of Euelpides, which he called memigmenon," containing poppy-tears and white peppercorns 28 grms. each; gum 336 grms. roasted copper 6 grms. However, ;

in the course of the treatment, after a subsidence of the disease, the bath and wine are of some service.

In all cases of ophthalmia food that makes thin should be avoided, but especially in those who have had for long a discharge of thin humour. But if food which renders the rheum thicker comes to be disliked, which very readily happens with this kind of diet, recourse should be had to those foods which, in bracing up the bowels, do the same to the body in general.

Again, ulcerations which do not heal after inflammation has ended, tend to become fungous or Such as are foul or excavated, or at any rate chronic. fungous are best repressed by the salve called memigmenon those which are foul are cleaned both by the same and by that called zmilion.* This verdigris 16 grms. gum the same aracontains moniacum and Sinopic minium 64 grms. some pound up these with water, others with vinegar, in order ;

:

;

;

;

to

make it more active. The salve of Euelpides

also which he called pyrron" saffron 4 grms. ; poppy-tears of use for this and gum 8 grms. roasted and washed copper and myrrh 16 grms. each white pepper 24 grms. But the eyes are first smeared with a mild ointment, then with the above. is

:

;

;

"

From

its

red (irvppos) colour

:

it

contained red oxide of

copper.

211

;

CELSUS 21

Id quoque eiusdem, quod sphaerion nominabat, lapidis haematitis eloti P. -Jf I valet ; piperis grana sex ; cadmiae elotae, murrae, papaveris lacrimae, singulorum P. -Jf II ; croci P. ^IIII;

eodem

=

:

cummis

P.

-Jf

cum

Quae

VIII.

vino

Aminaeo

conterantur, 22

Liquidum autem medicamentum ad idem con-

=

ponebat, in quo erant haec aeruginis P. -Jf ; misy conbusti, atramenti sutori, cinnamomi, singulorum P. I ; croci, nardi, papaveris lacrimae, singulorum P, -Jf I murrae P. -Jf II ; aeris combusti P. III cineris ex odoribus P, -K- IIII piperis grana XV. Haec ex vino austero teruntur, deinde cum passi tribus heminis decocuntur, donee corpus unum sit ; idque medicamentum vetustate :

^

=

^

efficacius

23

;

;

fit.

Cava vero ulcera commodissime implent ex iis, quae supra posita sunt, sphaerion et id, quod

Philalethus vocatur. Idem sphaerion vetustis ulceribus et vix ad cicatrices venientibus optime succurrit. 24 Est etiam coUyrium, quod, cum ad plura valeat, plurimum tamen proficere in ulceribus videtur.

Refertur ad

Hermonem

auctorem. Habet piperis ^ ; cinnamomi, costi, singulorum P. I atramenti sutori, nardi, casiae, castorei, singulorum P. •}{ II ; gallae P. -Jf V murrae, croci, turis, Lyci, cerussae, singulorum P. }(• VIII papaveris lacrimae P. XII ; aloes, aeris combusti, cadmiae, singulorum P. -X- XVI acaciae, stibis, cummis, singulorum P. -Jf XXV. 25 Factae vero ex ulceribus cicatrices duobus vitiis periclitantur, ne aut cavae aut crassae sint. Si longi

P.

-Jf

I

=

;

-J?-

albi

P.

—

;

;

^

;

"

From

its

shape which was that of a

also V. 6. 23, 25, 26, 28.

212

ball (ad>aipa)

:

see

;;

BOOK

VI.

6.

21-25

That salve of his which he named sphaerion " has the same effect washed haematite stone 4-66 grms. 6 peppercorns washed zinc oxide, myrrh and poppytears 8 grms. ; saffron 16 grms, ; gum 32 grms. these are pounded up in Aminean wine. For the same purpose he prepared a Hquid salve, containing verdigris 0-66 grm. roasted antimony sulphide, shoemakers-blacking, and cinnamon 4 grms. each saffron, nard and poppy-tears 4-66 grms. each myrrh 8 grms. ; roast copper 12 grms. ; ash of aromai^ic herbs 16 grms. 15 peppercorns. These are pounded up in dry wine, then boiled in 750 c.cm., of raisin wine until of uniform consistency. This is rendered more efficacious by age. Excavated ulcerations, too, are most readily replenished with flesh by the compositions mentioned above, sphaerion, and that called Philalethus.* Sphaerion is the best remedy for old-standing ulcerations, and those that are difficult to heal. There is also a salve, which whilst efficacious in many ways seems to be specially so in the case of ulcerations. It is said to have been invented by Hermon. It contains long pepper 4*66 grms. white pepper 0*33 grm. ; cinnamon and costmary 4 grms. each shoemaker's blacking, nard, casia and castoreum 8 grms. each ; gall 20 grms. ; myrrh, saffron, frankincense, lycium and cerussa, 32 grms. each; poppy-tears 48 grms.; lign-aloes, roasted copper and oxide of zinc 64 grms. each acacia, antimony sulphide and gum 100 grms. each. Scars resulting from ulcerations are liable to two If defects, they are either depressed or thick. :

;

;

;

;

;

:

;

;

*

VI.

6. 12.

213

;

CELSUS cavae sunt, potest eas implere vocari dixi, vel id,

id, quod sphaerion quod Asclepios nominatur. Habet

papaveris lacrimae P. ^ II sagapeni, opopanacis, singulorum P, -Jf III aeruginis P. IIII cummis P. -Jf VIII piperis P. ^ XII cadmiae elotae, B cerussae, singulorum P. ^ XVI. At si crassae cicatrices sunt, extenuat vel zmilion vel Canopite collyrium, quod habet cinnamomi, acaciae, singulorum P. -Jf I cadmiae elotae, croci, murrae papaveris lacrimae, cummis, singulorum P, -Jf II piperis albi, turis singulorum P, -Jf III aeris combusti C P. -Jf VIII. Vel Euelpidis pyxinum, quod ex his ;

•}{•

;

;

;

;

:

;

;

;

constat

salis

:

thymiamatis

XII

4f

;

P.

fossilis

P.

VIII

-H-

cerussae P.

singulorum P. 4f cadmiae elotae P.

-Jf

XV

XXXII •}?•

^

IIII

;

papaveris

; ; ;

Villi.

Hammoniaci lacrimae

P. piperis albi, croci Siculi, cummis P. XIII

^

Maxime tamen

tollere

=

cicatricem videtur id, quod habet cummis P. ^ ; aeruginis P. I croci magmatis P. IIII. 26 Est etiam genus inflammationis, in qua, si cui tument ac distenduntur cum dolore oculi, sanguinem ex fronte emitti necessarium est, multaque aqua calida caput atque oculos fovere; gargarizare ex lenticula vel fici cremore ; inimgui acribus medicamentis, quae supra (16 seqq., 21 seqq.) conprehensa sunt, maximeque eo, quod sphaerion nominatur, quod lapidem haematitem habet. Atque alia :

^

quoque

^

quae ad extenuandam aspritudide qua protinus dicam. Haec autem inflammationem oculorum fere sequi-

nem 27

;

utilia sunt,

fiunt,

A salve named

after the town of Canopus in Egypt. Collyrium pyxinum, a salve kept in a box-wood caae; such receptacles, specially labelled, have been unearthed from apothecae or drug shops excavated in Pompei and elsewhere. "

*

214

;;

BOOK

VI.

25-27

6.

depressed, new flesh may be grown by applying that salve called sphaerion, or that named Asclepios, which contains poppy-tears 8 grms. sagapenum and all-heal 12 grms. each verdigris 16 grms. gum 32 grms. pepper 48 grms. washed oxide of zinc and cerussa 64 grms. each. But thick scars are thinned either by the smilion, or by the salve of Canopus " which contains cinnamon and acacia 4 grms. each ; washed oxide of zinc, saffron, myrrh, poppy-tears and gum 8 grms. each; white pepper and frankincense 12 grms. each; roasted copper 32 grms. Or the pyxinum ^ of Euelpides, which consists of: rock-salt 16 grms.; ammoniacum used for incense, 32 grms. poppy-tears 48 grms. cerussa 60 grms. ; white pepper and Sicilian saffron 128 grms. each ; gum 52 grms. washed zinc oxide 36 grms. However, the best for elevating a scar gum 0-66 grm. verdigris 4 grms. seems to be dregs of saffron 16 grms. There is also a class of inflammation in which, if the eyes swell and become tense with pain, it is necessary to let blood from the forehead, and to foment the head and eyes freely with hot water; also to gargle, using a decoction of lentils, or the cream of figs to apply as an ointment acrid medicaments, such as have been noted above, especially that named sphaerion, and that containing haematite stone. There are also other salves of use for softening trachoma"^ of which I am just going to speak. Now this condition generally follows inflammation :

;

;

;

;

:

;

;

;

;

:

;

*

For trachoma see

unaltered

to

especially it of severity.

is

this

p.

184 note a; the disease continues

day among eastern races

general

among

;

in

Egypt

the populace in various degrees

215

;

CELSUS interdum maior, interdum levior. Nonnumquam etiam ex aspritudine lippitudo fit, ipsam deinde aspritudinem auget, fitque ea alias brevis, in aliis longa et quae vix umquam finiatur. In hoc genere valetudinis quidam crassas durasque palpebras et ficulneo folio et asperato specillo et interdum scalpello eradunt, versasque cotidie medicamentis sufFricant quae neque nisi in magna vetustaque aspritudine neque saepe facienda sunt nam melius eodem ratione vietus et idoneis medicamentis pervenitur. B Ergo exercitationibus utemur et balneo frequentiore, .^ oculorum multaque aqua calida fovebimus cibos autem sumemus acres et extenuantis, medicamentum id, quod Caesarianum vocatur. Habet atramenti sutori P. -Jf I misy P. -Jf I piperis albi P. ^ papaveris lacrimae, cummis, singulorum P, •}( II cadmiae elotae P. ^ IIII stibis P. ^ VI satisque constat hoc collyrium adversus omne genus oculorum valetudinis idoneum esse, exceptis is, quae lenibus nutriuntur. 28 Id quoque, quod Hieracis nominatur, ad aspritutur,

—

:

.

.

==

—

=

;

;

;

;

;

;

dinem potest. Habet thyntiiamatis P. II ;

^

murrae P. aeruginis

I

-Jf

;

Hammoniaci

rasae

P.

-Jf

IIII.

Ad idem idoneum est etiam id, quod Canopitae est et, quod zmilion vocatur, et id, quod pyxinum et id, quod sphaerion. Si conposita medicamenta non adsunt, felle caprino vel quam optimo melle satis aspritudo curatur. 29 Est etiam genus aridae lippitudinis xeropthalmian

commode

:

Graeci appellant. ^

Marx

fluunt oculi,

-proposed to insert oras as translated.

• i.e.

2l6

Neque tument neque

chronic conjunctivitis.

BOOK

VI.

6.

27-29

sometimes it is more serious, sometimes Often too, as the result of trachoma, inflammation" is set up, which in its turn increases the trachoma, and sometimes lasts a short time, sometimes long, and then it is scarcely ever terminated. In this class of affection, some scrape the thick and indurated eyelids with a fig-leaf and a rasp and sometimes with a scalpel, and every day rub medicaments into the under surface of the eyelid; such things should only be done when there is marked and inveterate hardness, and not often for the same result is better attained by dieting and proper medicaments. Therefore we shall make use of exercise and frequent baths, and foment the eye-lids freely with hot water, and the food we give will be acrid and attenuating, and the medicine the salve called caesarianum. This contains shoemaker's blacking 1*33 grms. antimony sulphide 1'66 grms. white pepper 1'33 grms. poppy-tears and gum 8 grms. each; washed oxide of zmc 16 grms.; antimony sulphide 24 grms. And this preparation will do for all kinds of eye-inflammations, except such as are relieved by bland remedies. That called after Hierax is also efficacious for trachoma. It contains myrrh 4 grms. ammoniacum used for incense 8 grms. copper filings 16 grms. For the same purpose there are also those called respectively Canopite, smilion, pyxinum, and sphaerion. But when none of these made up medicaments is at hand, then goat's bile or honey of the best is suitable enough for the treatment of trachoma. There is a kind of dry inflammation of the eyes called by the Greeks xerophthalmia. The eyes neither swell nor run, but are none the less red of the eyes less

;

so.

;

:

;

;

;

:

;

;

217

;

CELSUS sed rubent tamen et cum dolore quodam gravescunt et noctu praegravi pituita inhaerescunt ; quantoque

minor generis huius impetus, tanto expeditus

est.

— In

hoc

vitio

multum

minus

finis

multum ambulare,

exerceri, lavari saepe,^ . ibique desudare, frictione uti necessarium est. Cibi neque ii qui implant, neque nimium acres apti sunt, sed inter hos medi. Mane, ubi concoxisse manifestum est, non est alienum ex sinapi gargarizare, turn deinde caput atque os diutius defricare. 30 Collyrium vero aptissimum est, quod rinion vocatur. Habet murrae P. .jf papaveris lacrimae, acaciae ; suci, piperis, cummis, singulorum P. •}(• I ; lapidis haematitis, lapidis Phrygii, Lucii, lapidis scissilis, singulorum P. •}(• II ; aeris combusti P. IIII. .

.

multaque

=

^

31

Ac pyxinum quoque eodem accommodatum est. Si vero scabri oculi sunt, quod maxime in angulis esse consuevit, potest prodesse rinion, id quod supra positum est ; potest militare : id, quod habet aeruginis rasae, piperis longi, papaveris lacrimae, singulorum P. -Jf II ; piperis albi, cummis, singulorum P. IIII ; cadmiae elotae, cerussae, singulorum P. -Jf XVI. Nullum tamen melius est quam Euelpidis, quod basilicon nominabat. Habet papaveris lacrimae, cerussae, lapidis Assii, singulorum P. II ; cummis P. III ; piperis albi P. IIII croci P. -Jf VI ; psorici P. -Jf XIII. Nulla autem per se materia est, quae psoricum nominetur, sed chalcitidis ahquid et cadmiae dimidio plus ex aceto

^

^

B

^

Marx would add

^

after

^

saepe

:

in balineo sedere,

and

this

w translated. " '

* Split alum, cf. V. 2. Cf. Paulus Aegineta, 3. 22. pivdpiov. Inflammation of the eyelid (Blepharitis marginalia or

angularis).

2l8

BOOK

VI.

6.

29-31 B

and heavy and painful, and at night the lids get stuck together by very troublesome rheum; the less violent the onset of this kind of trouble is, the less readily it is terminated. In this lesion there is need for much walking, much exercise, frequent bathing, sitting in the bath and sweating, and much rubbing. The food should not be too flesh-making, neither is acrid food suitable, but a mean between the two. In the morning, when it is plain that all food has been digested, it is not inappropriate to gargle with mustard, then next to rub the head and face for a considerable time. Again, a most suitable salve is that called rhinion." It contains myrrh 0-66 grm. ; poppy-tears, acacia juice, pepper and gum 4 grms. each; haematite :

stone, Phrygian and Lycian stone, and split stone,* 8 grms. each; roasted copper 16 grms. The salve pyxinum is also fitting for this same purpose. When the eyes are scabrous,' which mostly occurs at their angles, the rhinion salve noted above may do good that one may also serve which contains copper filings, long pepper and poppy-tears 8 grms. each white pepper and gum 16 grms. each washed oxide of zinc and cerussa 64 grms. each. Nothing, however, is better than that named by Euelpides basilicon. It contains poppy-tears cerussa and Assos stone, 8 grms. each gum 12 grms. ; white pepper 16 grms.; saffron 24 grms.; psoricum'* 42 grms. Now there is no drug called psoricum, but some copper ore and a little more than half as much oxide of zinc are pounded up together in vinegar, ;

:

;

;

:

;

''

Psoricum

{t/iMpiKov (f>apiJ.aKov)

was a remedy

for itch, ifiwpa.

The composition was noted by Dioscorides and Pliny of

;

oxides

copper and zinc were the active ingredients.

219

CELSUS fictile additum et sub terra reponitur, sub-

simul conteruntur, idque in vas

contectum ficulneis latumque post dies

Varum

appellatur.^

C

foliis

viginti rursus teritur, et sic t in

basilico

quoque

collyrio

convenit ad omnes aft'ectus oculorum id esse idoneum, qui non lenibus medicamentis curantur. Ubi non sunt autem medicamenta composita, scabros angulos levant et mel et vinum; succurritque et his et aridae lippitudini, si quis panem ex vino subactum

Nam cum fere sit umor modo ipsum oculum, modo angulos aut

super oculum inponit. aliquis, qui

palpebras exasperat, sic et, si quid prodit umoris, extrahitur, et, si quid iuxta est, repellitur. Caligare vero oculi nonnumquam ex lippitudine, 32 nonnumquam etiam sine hac propter senectutem Si ex reliquis inbecillitatemve aliam consuerunt. lippitudinis id vitium est, adiuvat collyrium, quod Asclepios nominatur, adiuvat id, quod ex croci

magmate 33

fit.

Proprie etiam ad id componitur, quod dia crocu vocant. Habet piperis P. -Jf I croci Cilici, papaveris ;

lacrimae,

cerussae,

singulorum

P.

•}(

cummis, singulorum P, -Jf IIII. At si ex senectute aliave inbecillitate 34

H

;

psorici.

id est, recte

inungui potest et melle

et cypro et

oleo vetere.

quam optumo Commodissimum tamen

est

partem unam

et olei veteris aut cypri partes duas,

mellis

quam

acerrimi partes tres miscere.

balsami Utilia

hue quoque medicamenta sunt, quaeque ad caliginem Marx suggests adhibeatur for the M8S. MS. inserts psorioom after appellatur. *

220

appellatur.

One

;

BOOK

VI.

6.

31 B-34

and this is placed in an earthenware jar and covered over with fig-leaves and is buried underground after twenty days it is taken up, and again pounded, when it is given this name. It is generally agreed that the salve basilicum is suitable for all affections of the eyes which are not treated by bland medicaments. But when such compositions are not at hand, honey and wine relieve the scabrous angles of the eyes in this and in dry ophthalmia relief is afforded by soaking bread in wine, and applying it over the eyes. For since there is generally some humour which is irritating either the eyeball itself, or its angles, or the eyelids, by this application any humour on the surface is drawn out and any near at hand driven back. Again the eyes tend at times to become dim from ophthalmia, but also apart from that, on account of old age, or other weakness. If the disorder is owing to the remnants of an ophthalmia, the salve called Asclepios is of service and that which is composed of saffron dregs. Also there is a special preparation for this purpose called dia crocu." It contains pepper 4 grms. cilician saffron, poppy-tears and cerussa 8 grms. each psoricum and gum 16 grms. each. But if the eyes are dim from old age or other weakness, it is good to anoint with best honey, Cyprus oil, and old olive oil. The most suitable unguent, however, is made of balsam one part, and old olive or Cyprus oil two parts, and three parts of the sharpest honey. Here too those applications are suitable which were noted just above ;

;

" Sid KpoKov, containing saffron in Cilicia.

from Corycus (now Khorgos) 221

VOL.

II.

K

CELSUS proxime

B

(32, 33)

quaeque ad extenuandas

cicatrices

supra (25 B) comprehensa sunt. Cuicumque vero oculi caligabunt, huic opus erit multa ambulatione atque exercitatione, frequenti balneo, ubi totum quidem corpus perfricandum est, praecipue tamen caput, et quidem irino, donee insudet velandumque postea nee detegendum antequam sudor et calor

domi conquierint.

Turn

cibis

utendum

acribus et

extenuantibus, interpositisque aliquibus diebus ex 35

sinapi gargarizandum. SufFusio quoque, quam Graeci hypochysin nominant, interdum oculi potentiae, qua cernit,se opponit. Quod si inveteravit, manu curandum est. Inter

nonnumquam

observationibus disvel naribus mittere, in temporibus venas adurere, gargarizando pituitam evocare, subfumigare, oculos acribus medicamentis inunguere expedit. Victus optimus est, qui pituitam extenuat. 36 Ac ne resolutio quidem oculorum, quam paralysin Graeci nominant, alio victus modo vel aliis medicainitia

cutietur.

certis

Sanguinem ex fronte

mentis curanda

est.

Exposuisse tantum genus

vitii

Igitur interdum evenit, modo in altero oculo, modo in utroque, aut ex ictu aliquo aut ex morbo comitiali, aut ex distentione nervorum, qua vehementer ipse oculus concussus est, ut is neque quoquam intendi possit, neque omnino consistat, sed hue illucve sine ratione moveatur ; ideoque ne conspectum quidem rerum praestat. satis

est.

See VI. 6. 25 B. Suffusio {vTToxvais) is a collection of humour behind the pupil. The name cataracta (KarappaKT-qs) was first used by Constantinus about 1070 in a translation from the Arabic. See also VII. 7. 13. " *

BOOK

VI.

6.

34-36

dim vision and previously for thinning" scars. anyone finds his eyes becoming dim he must walk and exercise a great deal; also bathe frequently, and in the bath he is to be rubbed all over, especially, however, on his head, with iris and he should then be unguent, until he sweats wrapped up, and not uncover, until after reaching home the sweating and heat have passed oiF. Then he should take acrid foods which will make him thin and some days afterwards gargle with mustard. Cataract * also, which the Greeks call hypochysis, sometimes interferes with the vision of the eye. When it has become long established it is to be treated surgically. In its earliest stages it may be dispersed it is useful to occasionally by certain measures let blood from the forehead or nostrils, to cauterize the temporal blood vessels, to bring out phlegm by gargling, to inhale smoke, to anoint the eyes with acrid medicaments. That regimen is best which makes phlegm thin. Again, even the relaxation of the eyes which the Greeks call paralysis'^ is not to be treated by any different regimen or by any different medicaments. for

If

;

:

explain just the kind of lesion it is. happens then sometimes in the case of one eye, sometimes of both, from some blow, or from epilepsy, or from a spasm, by which the eyeball itself is violently shaken, that it cannot be directed at any object, or be held at all steady, but with no reason it turns now this way, now that, and so does not even afford a view of objects. It is sufficient to

It

«

The

Paralysis and resohdio nervorum are used alternatively. description is rather of a functional disorder than of a

muscular paralysis.

223

—

:

CELSUS Non multum ab hoc malo

37

distat id,

quod mydriasin

Graeci vocant.

Pupilla funditur et dilatatur, acies.^ que eius hebetescit ac paene. Difficillime genus id inbecillitatis eliditur. In utraque parte vero [id est et paralysi et mydriasi] pugnandum est per eadem omnia, quae in caligine oculorum praecepta sunt (32-34), paueis tantum mutatis, siquidem ad .

B

caput irino adiciendum

interdum est,

acetum,

.

—

interdum

melle inungui satis

nitrum

Quidam

est.

posteriore vitio calidis aquis usi relevatique sine ulla manifesta causa subito obcaecati sunt. Ex quibus nonnuUi cum aliquamdiu nihil vidissent, repentina profusione alvi lumen receperunt quo minus alienum videtur et recenti re et interposito tempore medicamentis quoque moliri deiectiones, quae omnem noxiam materiam in inferiora depellant. in

quidam

;

38

Praeter haec inbecillitas oculorum est, ex qua quidem interdiu satis, noctu nihil cernunt quod in feminam bene respondentibus menstruis non cadit. Sed sic laborantes inungui oportet sanie iocineris maxime hirquini, si minus, caprini, ubi id assum coquitur, excepta; atque edi quoque ipsum iecur debet. Licet tamen etiam iisdem medicamentis non inutiliter uti, quae vel cicatrices vel aspritudinem extenuant quidam contrito semini portulacae mel ;

:

adiciunt, eatenus ne id ex specillo destillet, ^

A

word has fallen out

here,

Marx

eoque

supplied deficit.

" Mydriasis (fivSplams). The reflex effect of more light entering through the dilated pupil is to cause the eyelids to

close (fivfiv). *

Celsus here describes a particular functional disorder and at night;

caecitas crepuscular is, inability to see at dusk,

224

BOOK

VI.

The malady the Greeks

6.

call

37-38 mydriasis

" is

not very

from the above. The pupil spreads out and is dilated, and its vision becomes dimmed and almost lost. This kind of weakness is most difficult to relieve. Both of these [paralysis and mydriasis] are to be countered by all the same prescriptions as mistiness of the eyes, but with a few alterations such as the addition sometimes of vinegar, sometimes of soda, to the iris unguent for the head; while honey is sufficient for the eye inunctions. In the case of mydriasis, some patients have been relieved by the use of hot water, some without any obvious cause have suddenly become blind. Some of these after seeing nothing for some time have different

suddenly regained vision following a profuse stool. Hence it seems not inappropriate, whether in a recent case or in one of some standing, by the use of medicaments to force stools in order to drive downwards all noxious matter. There is besides a weakness of the eyes, owing to which people see well enough indeed in the daytime but not at all at night; in women whose menstruation is regular this does not happen. But such sufferers should anoint their eyeballs with the stuff dripping from a liver whilst roasting, preferably **

of a he-goat, or failing that of a she-goat

;

and

as well

they should eat some of the liver itself. But, we may also use with advantage the same remedies which dry up scars and trachoma. Some add honey to pounded purslane seed until the mixture no longer drops from the end of a pi-obe, and with it anoint the cats and other animals have better vision than respect. The term nyctalopia (night blindness) less and so has led to endless confusion.

man is

in this

meaning-

225

CELSUS inungunt. Exercitationibus, balneo, frictionibus, gargarizationibus isdem his quoque utendum est. 39 Et haec quidem in ipsis corporibus oriuntur. Extrinsecus vero interdum sic ictus oculum laedit, Nihil commodius ut sanguis in eo sufFundatur. est quam sanguine vel columbae vel palumbi vel hirundinis inunguere. Neque id sine causa fit,

—

cum horum

B

C

acies extrinsecus laesa interposito

tem-

pore in anticum statum redeat, celerrime hirundinis. Unde etiam fabulae locus factus est, per parentes id herba restitui, quod per se sanescit. Eorumque ergo sanguis nostros quoque oculos ab externo casu conunodissime tuetur, hoc ordine, ut sit hirundinis optimus, deinde palumbi, minime efficax columbae et illi ipsi et nobis. Supra percussum vero oculum ad inflammationem leniendam non est alienum inponere Sal Hammoniacus vel quihbet etiam cataplasma. alius quam optimus teri debet, sic ut ei paulatim

oleum

adiciatur,

donee crassitudo strigmenti

fiat.

Id deinde miscendum est cum hordeacia farina, quae ex mulso decocta sit. Facile autem recognitis omnibus, quae medici prodiderunt, apparere cuilibet potest, vlx ullum ex iis, quae supra conprehensa sunt, oculi vitium esse, quod non simplicibus quoque et promptis remediis summoveri possit. .^ reperiuntur, in 7. Hactenus in oculis ea quibus medicamenta plurimum possint ideoque ad aures transeundum est, quarvun usum proximum a .

.

:

^

"

geners. after ea.

Chelidonium majus, the greater celandine, which blooms the swallow (xe^iBwv) is arriving on the swallow wind

when 226

Marx would supply morborum

:;

BOOK

VI.

6.

38-7.

I

The same exercises, baths, rubbings and gargles are also to be used for these patients. All the foregoing disorders arise within the body but a blow from without at times so injures the eye that it is suffused with blood. Nothing is then better than to anoint the eyeball with the blood of a pigeon, dove, or swallow. There is some reason for this, because the vision of these birds, when injured from without, returns after an interval to its original state, most speedily in the case of the swallow. This also has given rise to the fable that the old birds restore the vision by a herb," when it really returns spontaneously. Hence the blood of these birds most properly protects our eves too after an external injury, and in the following order swallow's blood is best, next that of the pigeon, and the dove's is the least efficacious, both as regards the birds themselves and us. In order to relieve inflammation, it is not unfitting to apply a poultice over the injured eye. The best salt from Ammon, or some other salt, is pounded, and oil gradually added until it is of the consistency of strigil scrapings. Then this is mixed with barley-meal which has been boiled in honey wine. But it is easy, after looking through all that medical practitioners have written, for anyone to see that there is scarcely any one of the eye disorders among those included above which it may not be possible to clear up by simple and readily procured remedies. 7. So much, then, for those classes of eye disease, for which medicaments are most successful and now we pass to the ears, the use of which comes next to eyeeyeballs.

;

(Theophrastus, Enquiry into Plants, VII. 15. 1, Loeb translation, II. 136). Its juice yields a narcotic alkaloid.

227

CELSUS

B

.

luminibus natura nobis dedit. Sed in his aliquanto maius periculum est: nam vitia oculorum intra ipsos nocent, aurium inflammationes doloresque interdum etiam ad dementiam mortemque praecipitant. Quo magis inter initia protinus succurrendum est, ne maiori periculo locus sit. Ergo ubi primum doloremaliquis sensit,abstinere et continere se debet; postero die, si vehementius malum est, caput tondere, idque irino unguento calido perunguere et operire. At magnus cum febre vigiliaque dolor exigit, ut sanguis quoque mittatur si id aliquae causae prohibent, alvus solvenda est. Cataplasmata quoque calida subinde mutata proficiunt, sive feni Graeci sive lini sive alia farina ex mulso decocta et recta etiam subinde admoventur spongiae ex aqua calida expressae. Tum levato dolore ceratum circumdari debet ex irino aut cyprino factum in quibusdam tamen melius quod ex rosa est proficit. Si vehemens inflammatio somnum ex toto prohibet, adici cataplasmati debent papaveris cortices fricti atque contriti, sic ut ex his pars dimidia sit, eaque tum simul ex passo mixto decoquatur. In aurem vero infundere aliquod medicamentum oportet, quod semper ante tepefieri convenit, commodissimeque per striglem instillatur. Ubi auris repleta est, super lana mollis

—

;

C

:

D

addenda est, quae umorem intus contineat. Et haec quidem communia sunt medicamenta: verum est et rosa et radicum harundinis sucus, et oleum, in quo lumbrici cocti sunt, et umor ex amaris nucibus "

The truth

literature,

of this statement, unique in ancient medical only came to be appreciated after the middle of

the 19th century. ' The strigil, commonly made of horn, had a groove like our shoehorn, into which liquid medicaments were poured, and from which fluid could be poured in drops.

228

BOOK

VI.

7.

i-D

sight as Nature's gift to us. But in the case of the ears there is a somewhat greater danger ; for whereas lesions of the eyes keep the mischief to themselves, inflammations and pains in the ears sometimes even serve to drive the patient to madness and death." This makes it more desirable to apply treatment at the very beginning, that there may be no opening for the greater danger. As soon, therefore, as the pain is first felt, the patient should fast and keep quiet ; the next day, if the pain is still severe, the head should be shaved, and after it has been anointed with hot iris unguent, covered up. But great pain with fever and sleeplessness require also that blood should be let if anything prevents this, the bowels are to be moved. Hot poultices also, frequently changed, are of service, whether composed of fenugreek or linseed or other meal boiled in honey wine, and sponges also wrung out of hot water, applied at intervals, are appropriate. Then, when the pain is relieved, iris or Cyprus unguent should be spread around the ears in some cases, however, the rose unguent is more advantageous. If severe inflammation entirely prevents sleep, there should be added to the poultice half its quantity of toasted and pounded poppy-head rind, and this should be boiled down with the rest in diluted raisin wine. It is desirable also to pour some medicament into the ear, and this should always be made lukewarm beforehand; and is best dropped in from a strigil.'' When the ear is full, soft wool is applied over it to keep in the fluid. And these are the medicaments generally used for this purpose but also there is rose oil and arundo-root juice and oil in which worms have been boiled, and juice expressed from bitter almonds or ;

;

:

229

;

CELSUS aut ex nucleo mali Persici expressus.

Conposita vero haec fere sunt castorei, papaveris lacrimae pares portiones eonteruntur deinde adicitur his passum. Vel papaveris lacrimae, croci, murrae par modus sic teritur, ut invicem modo rosa modo passum instilletur. E Vel id, quod amarum in Aegyptia faba est, conteritur rosa adiecta quibus murrae quoque paulum a quibusdam miscetur vel papaveris lacrimae aut tus cum muliebri lacte vel amararum nucum cum rosa sucus Vel castorei , murrae papaveris lacrimae pares murrae, portiones cum passo. Vel croci P. -Jf ; aluminis scissilis, singulorum P. ^ quibus dum ; teruntur paulatim miscentur passi cyathi tres, mellis minus cyatho, idque ex primis medicamentis est. F Vel papaveris lacrima[e] ex aceto. Licet etiam compositione uti Themisonis, quae habet castorei, opopanacis, papaveris lacrimae, singulorum P. ^ II spumae Lyci P. -Jf IIII. Quae contrita passo excipiuntur, donee cerati crassitudinem habeant, atque Ubi usus requiritur, rursus id ita reponuntur. medicamentum adiecto passo specillo teritur. Illud perpetuum est, quotienscumque crassius medica-

ad inflammationem

doloremque

leniendum

:

;

;

.

,

mentum

est

quam

ut

in

=— =

aurem

instillari

possit,

adiciendum eum esse umorem, ex quo id componi debet, donee satis liquidum sit. 2 Si vero pus quoque aures habent, recte Lycium per se infunditur, aut irinum unguentum aut porri sucus

cum

melle aut centauri sucus

cum

passo aut

dulcis mali Punici sucus in ipsius cortice tepefactus,

adiecta murrae exigua parte.

230

Recte etiam miscentur

;

BOOK

VI.

7.

I

D-2

from

peach-kernels. But the compositions for relieving inflammation and pain generally employed are : castoreum and poppy-tears in equal amounts, pounded together ; then to these there is added raisin wine. Or poppy-tears, saffron and myrrh in equal quantities pounded, while rose oil and raisin wine are dropped in by turns. Or the bitter part of the Egyptian bean pounded up with rose oil added with these some mix a little myrrh or poppy-tears, or frankincense in woman's milk, or the juice of bitter almonds with rose oil. Or castoreum, myrrh and poppy-tears, equal parts, with raisin wine. Or saffron 1 grm. ; myrrh and shredded alum 0'66 grm. of each ; whilst this is being pounded there is slowly added to it 125 c.cm. of raisin wine, of honey rather less than 40 c.cm., and this is one of the best remedies. Or poppy-tears in vinegar. Themison's compound may also be used ; it contains : castoreum, opopanax and poppy-tears 8 grms. each, buckthorn scum 16 grms. These are pounded and made up in raisin wine, until they have the consistency of a wax salve and are so preserved. When required for use, this composition is again stirred with a probe whilst adding raisin wine. The rule is general, that when a composition has become too thick to be dropped into the ear, some of the fluid

with which

it

was made up

is

added

until it

becomes

sufficiently liquid.

have pus in them as well, it proper to pour in boxthorn juice by itself, or iris unguent or leek juice with honey or centaury juice with raisin wine or the juice of a sweet pomegranate warmed in its rind, to which a little myrrh is added. It is useful to mix together myrrh of the sort called If again the ears

is

231

;; :

CELSUS murrae,

quam

stacten cognominant, P,

-5^

I

;

croci

tantundem nuces amarae XXV mellis sex cyathi quae contrita, cum utendum est, in cortice mali Punici tepefiunt. Ea quoque medicamenta, quae oris exulcerati causa componuntur, aeque ulcera B aurium sanant. Quae si vetustiora sunt et multa sanies fluit, apta compositio est, quae ad auctorem ;

;

^

piperis P. -Jf croci P. -XErasistratum refertur ; := ; murrae, misy cocti, singulorum P. -Jf I aeris combusti P. ^ II. Haec ex vino teruntur deinde :

;

:

ubi inaruerunt,

adiciuntur passi heminae tres

simul incocuntur.

mel

et vinum.

Cum utendum

=

et

adicitur his

Est etiam Ptolemaei chirurgi medica-

mentum, quod habet

C^

est,

lentisci

:

P.

-Jf

=

;

gallae P.

omphaci P, I sucum Punici mab*. Est Menophili validum admodum, quod ex his constat: II murrae, croci, piperis longi P. ^ I castorei P. papaveris lacrimae, nardi Suriaci, turis, malicori, ex Aegyptia faba partis interioris, nucum amararum, •}{•

;

;

•}(•

;

;

quam optumi, singulorum P. ^ IIII ; quibus teruntur adicitur acetum quam acerrimum, donee crassitudo in his passi fit. Est Cratonis Lyci, nardi, cinnamomi, casiae, singulorum P. ; aloes P. "J?- II ; mellis murrae, singulorum P. -Jf I ex quibus Lycium cum vini sextarius cyathi tres D vino decoquitur, deinde his alia miscentur. At si multum puris malusque odor est, aeruginis rasae, melhs cyathi duo turis, singulorum P. 4f II Ubi utendum est, aceti quattuor simul incocuntur. mellis

cum

^=

;

;

;

;

'

232

VI. 11.

;

BOOK

VI.

2-D

7.

the same amount of saffron ; 25 of honey 250 c.cm. ; these are pounded together, and when they are to be used, are warmed in a pomegranate rind. The medicaments which are compounded for ulcerations of the mouth are equally healing for ulcerations of the ear,* If the disease is of longer standing, and much matter is discharged, the composition said to have been invented by Erasistratus is suitable pepper 0-66 stacte 4 grms. bitter almonds

;

;

:

grm. myrrh and cooked antimony sulphide 4 grms. each roasted copper 8 grms. These are pounded up in wine, and when the mixture has become dry, 750 c.cm. of raisin wine are added, and are boiled up with it. When it is to be used, wine and honey are added to these ingredients. There is also the medicament of the surgeon Ptolemaeus, which contains mastich 0-66 grm., oak galls 0-66 grm., omphacium 4 grms. and pomegranate juice. There is the very active remedy of Menophilus, which consists of long pepper 4 grms. castoreum 8 grms. myrrh, saffron, poppy-tears, Syrian nard, frankincense, pomegranate rind, the embryo of an Egyptian bean, bitter almonds, and the best honey 16 grms. each. These are pounded together with the addition of very sour vinegar until

grm.

;

saffron 0*66

;

;

:

;

:

;

of the consistency of raisin wine. The prescription of Craton is the following cinnamon and casia 0*66 grm. each, boxthorn juice, nard and myrrh 4 grms. each, lign-aloes 8 grms., honey 125 c.cm., wine half a litre. The lycium is first boiled in the wine, and the rest added. But when there is much pus, and the odour bad, verdigris scrapings and frankincense vinegar 170 c.cm. 8 grms. each, honey 85 c.cm. are boiled together. For use, it is mixed with sweet :

;

233

CELSUS dulce vinum miscetur. Aut aluminis scissilis, papalacrimae, acaciae suci par pondus miscetur, hisque adicitur hyoscyami suci dimidio minor quam unius ex superioribus portio, eaque trita ex vino diluuntur. Per se quoque hyoscyami sucus satis veris

proficit.

3

Commune casus posuit.

vero auxilium adversus omnes aurium iamque usu conprobatum Asclepiades conIn eo sunt cinnamomi, casiae, singulorum

P. -Jf I ; floris iunci rotundi, castorei, albi piperis, II ; turis longi, amomi, myrobalani, singulorum P. masculi, nardi Syriaci, m^urrae pinguis, croci, spumae III. Quae separatim contrita, nitri, singulorum P.

^

^

rursus mixta ex aceto conteruntur, atque ita condita, B ubi utendum est, aceto diluuntur. Eodem modo commune auxilium auribus laborantibus est Polyidi sphragis ex dulci vino liquata, quae conpositio priore Quod si et sanies profluit libro (V. 20, 2) continetur. et tumor est, non alienum est mixto vino per oricularium clysterem eluere, et turn infundere vinum austerum cum rosa mixtum, cui spodi paulum sit adiectum, aut Lucium cum lacte aut herbae sanguinalis sucum cum rosa aut mali Punici sucum cum exigua murrae parte. 4 Si sordida quoque ulcera sunt, melius mulso eluuntur, et tum aliquid ex iis, quae supra scripta sunt, quod mel habeat, infunditur. Si magis pus profluit, et caput utique tondendum est et multa calida aqua

perfundendum, et gargarizandum, et usque ad lassitudinem ambulandum, et cibo modico utendum est. Si cruor quoque ex ulceribus apparuit, Lycium cum

<•

234

V. 20.

2.

;

BOOK

VI.

7.

2 i>-4

Or equal weights of shredded alum, poppyand acacia juice are mixed together, and to these is added of hyocyamus juice less than half the quantity of each one of the above and these are pounded together and diluted with wine. Also hyocyamus juice is sufficiently beneficial by itself. A general remedy for all ear cases, and one approved by experience, was composed by Asclepiades. This contains cinnamon and casia 4 grms. each flowers of round cyperus, castoreum, white pepper, long pepper, cardamomum and bennut, 8 grms. each male frankincense, Syrian nard, fatty myrrh, saffron, soda-scum, 12 grms. each. These are pounded separately, then mixed with vinegar and again pounded, and so preserved; when for use they are wine.

tears

;

:

;

diluted with vinegar. In the same way a general remedy for all ear disorders is the tablet of Polyidus, dissolved in sweet wine, the prescription for which is given in the last book." But if there is both a discharge of matter and a swelling, it is not unfitting to wash out the ear with diluted wine through an ear syringe, and then pour in dry wine mixed with rose oil, to which a little oxide of zinc has been added, or boxthorn juice with milk, or polygonum juice with rose oil, or pomegranate juice with a very little

myrrh. If there

is

also foul ulceration,

it

is

better to

wash out with honey wine, and then pour in some one of the compositions described above which contain honey. If there is a great discharge of pus the head is to be shaved, and hot water poured freely over it, also the patient should gargle with the same, walk until tired, and take food sparingly. If there is bleeding from the ulcerations, boxthorn 235

CELSUS lacte debet infundi, vel aqua, in

qua rosa decocta

sit,

suco aut herbae sanguinalis aut acaciae adiecto.

B Quod

si super ulcera earo increvit, eaque mali odoris saniem fundit, aqua tepida elui debet, turn infundi id,

quod ex ture et aerugine et aceto et melle fit, aut mel cum aerugine incoctum. Squama quoque

cum

aeris

sandaraca contrita per fistulam recta

instillatur.

6

Ubi vero vermes

orti sunt, si iuxta sunt,

oriculario specillo sunt

;

si

longius,

protrahendi

medicamentis

enecandi, cavendumque ne postea nascantur.

Ad

album veratrum cum aceto contritum. Elui quoque aurem oportet vino, in quo marrubium decoctum sit. Emortui sub his vermes in primam partem auris provocabuntur, unde utrumque

proficit

educi facillime possunt. 6

Sin foramen auris conpressum est, et intus crassa

mel quam optimum addendum est. parum proficit, mellis cyatho et dimidio aeruginis

sanies subest, Si id

•}( II adiciendum est incoquendumque, et eo utendum. Iris quoque cum melle idem proficnt. Item galbani P. -Jf II, murrae et fellis taurini, singulorum P. ^ vini quantum satis est ad murram

rasae P.

==

,

diluendam. 7

Ubi

vero

gravius

aliquis

audire

coepit,

quod

maxime

post longos capitis dolores evenire consuevit,

in primis

aurem ipsam considerare oportet

enim aut 236

:

apparebit

crusta, qualis super ulcera innascitur, aut

;

BOOK

VI.

7.

4-7

juice should be poured in mixed with milk, or water in which rose leaves have been boiled, polygonum juice or that of acacia added. If has formed over the ulcerations and there is a odorous discharge, the ear should be washed out

with with flesh

malwith tepid water, then that composition poured in which contains frankincense, verdigris, vinegar and honey or honey boiled with verdigris. Copper scales also pounded up with sandarach may be instilled through a tube with advantage. When maggots have appeared, if they are near the surface, they must be extracted by an ear scoop further in they must be killed by medicaments, and afterwards care taken that they do not breed. White veratrum pounded up in vinegar serves for both these purposes. The ear should also be washed out with a decoction of horehound in wine. By this procedure dead maggots will be driven forwards into the outer part of the ear, whence they can be readily if

withdrawn. But if the ear-passage has been narrowed and thick matter collects within, honey of the best ought to be introduced. If this does not help, there must be added to 65 c.cm. of honey 8 grms. of verdigris scrapings they must be boiled together and so used. Iris root with honey has the same efficacy. So also has galbanum 8 grms., myrrh and ox bile 1-33 grms. each, and of wine a sufficient quantity to dissolve the myrrh. When a man is becoming dull of hearing, which happens most often after prolonged headaches, in the first place, the ear itself should be inspected for there will be found either a crust such as comes upon the surface of ulcerations, or concretions of wax. ;

:

237

;

CELSUS

B

sordium coitus. Si crusta est, infundendum est oleum calidum, aut cum melle aerugo vel porri sucus, aut cum mulso nitri paulum. Atque ubi crusta a corpore iam recedit, eluenda auris aqua tepida est, quo facilius ea per se diducta oriculario specillo protrahatur. Si sordes haeque molles sunt, eodem specillo eximendae sunt at si durae sunt, acetum et cum eo nitri paulum coiciendum est cumque emollitae sunt, eodem modo elui aurem purgarique oportet. Quod si capitis gravitas manet, attondendum idem leniter ^ sed diu perfricandum est, :

;

;

.

.

.

adiecto vel irino vel laureo oleo, sic ut utrilibet paulum aceti misceatur tum diu ambulandum, leniterque post unctionem aqua calida caput fovendum. Cibisque utendum ex inbecillissima et media materia, magisque adsumendae dilutae potiones ; nonnum;

C

quam gargarizandum est. Infundendum autem in aurem castoreum cum aceto et laureo oleo et suco radiculae corticis, aut cucumeris agrestis sucus additis contritis rosae foliis. Inmaturae quoque uvae sucus cum rosa instillatus adversus surditatem satis proficit.

8

Aliud viti genus atque hoc quoque

aures intra se ipsas sonant ne externum sonum accipiant. ubi id ex gravidine est peius, ubi est, ubi fit,

Levissimum est, ex morbis capitisve longis doloribus incidit pessimum, ubi magnis morbis venientibus maximeque ;

;

comitiali praevenit.

B

Si

ex gravidine ^

Marx

est,

supplies castoreo after leniter.

•

238

purgare aurem oportet et

Vol.

I.

p. 370.

;

BOOK

VI.

7.

7-8 B

If a crust, hot oil is poured in, or verdigris mixed with honey or leek juice or a little soda in honey wine. And when the crust has been separated from the

ulceration, the ear is irrigated with tepid water, to make it easier for the crusts now disengaged to be withdrawn by the ear scoop. If it be wax, and if it be

can be extracted in the same way by the ear scoop but if hard, vinegar containing a little soda is introduced and when the wax has softened, the ear is washed out and cleared as above. When the heaviness of the head persists it should be shaved the head rubbed over gently and for some time with castoreum to which either iris or laurel oil has been added with either of which a little vinegar has been mixed; then the patient must take a long walk, and after the rubbing his head is to be fomented gently with hot water. And the food should be of the lightest and of the middle class, and the drinks especially diluted; he should occasionally gargle. Further, the ear should be syringed with castoreum mixed with vinegar and laurel oil and the juice of young radish rind, or with cucumber juice, mixed with crushed rose leaves. The dropping in of the juice of unripe grapes mixed with rose oil is also soft, it ;

;

fairly efficacious against deafness.

Another class of lesion is that in which the ears produce a ringing noise within themselves and this also prevents them from perceiving sounds from :

without. This is least serious when due to cold in the head worse when occasioned by diseases or prolonged pains of the head worst of all when it precedes the onset of serious maladies, and especially ;

;

epilepsy. If

it is

due to a

cold," the ear should

be cleaned 239

CELSUS spiritum continere, donee inde

ex morbo vel

Si

umor aliquis exspumet.

capitis dolore,

quod ad exercita-

tionem, frictionem, perfusionem gargarizationemque pertinet, eadem facienda sunt. Cibis non utendum nisi extenuantibus. In aurem dandus radiculae sucus cum rosa vel cum suco radicis ex cucumere agresti; vel castoreum cum aceto et laureo oleo; veratrum quoque ad id ex aceto conteritur, deinde melle cocto excipitur, et inde coUyrium factum in

aurem

C

demittitur.

Si sine his coepit

aurem

ideoque novo metu terret, in

cum aceto vel irino aut laureo oleo ; aut huic mixtum castoreum cum suco nucum amararum; aut murra et nitrum cum rosa et aceto. Plus tamen in hoc quoque proficit dari debet castoreum

victus ratio, eademque facienda sunt, quae supra (B) conprehendi, cum maiore quoque diligentia; et praeterea, donee is sonus finiatur, a vino abstinendum. Quod si simul et sonus est et inflammatio, laureum oleum coniecisse abunde est, aut id, quod ex amaris nucibus exprimitur, quibus quidam vel castoreum vel murram miscent. Solet etiam interdum in aurem aliquid incidere, ut 9 calculus aliquodve animal. Si pulex intus est, conpellendum eo lanae paulum est, quo ipse is subit et simul extrahitur. Si non est seeutus aliudve animal est, specillum lana involutum in resina quam glutinosissima maximeque terebenthina demittendum, idque in aurem coiciendum ibique vertendum

D

• 8.

240

B.

;

BOOK

VI.

7.

8 B-9

and the breath held until some humour froths out from it. If it arises from disease and pain in the head,

the

prescriptions

as

exercise,

to

rubbing,

and gargling should be carried out. Only foods that make thin are to be used. Into the ear radish juice should be dropped with oil of roses or with the juice of wild cucumber root or castoreum with vinegar and laurel oil. Also veratrum is pounded up for this purpose in vinegar, then mixed with boiled honey, and a salve made of it and introduced into affusion

;

the ear. If the noise begins without these reasons and so causes dread of some new danger, there should be inserted into the ear castoreum in vinegar or with either iris oil or laurel oil ; or castoreum is mixed with this together with the juice of bitter almonds or myrrh and soda with rose oil and vinegar. But in this case also, there is more benefit from regulation of the diet, and the same is to be done as was prescribed above," with even greater care. And, besides, until the noise has ceased the patient must abstain from wine. But if there is at the same time both ringing and inflammation, laurel oil should be freely inserted, or the oil expressed from bitter almonds with which some mix myrrh or castoreum. It happens also occasionally that something slips into the ear, such as a small stone, or some living thing. If a flea has got in, a little wool is introduced in

If

which it

becomes engaged and so is extracted. if it is some other creature, wrapped round with a little wool, soaked

it

does not come out, or

a probe is very sticky resin, especially turpentine resin, which after being passed into the ear is there twisted in

241

CELSUS utique enim conprehendit [eximet]. Sin aliquid exanime est, speeillo oriculario protrahendum est aut B hamulo retuso paulum recurvato. Si ista nihil proest

:

ficiunt, potest eodem modo resina protrahi. Sternumenta quoque admota id commode elidunt, aut

oriculario clystere aqua vehementer intus conpulsa. Tabula quoque conlocatur, media inhaerens, capitibus utrimque pendentibus superque earn homo deligatur ;

in id latus versus, cuius auris eo

modo

laborat, sic ut

extra tabulam emineat. Tum malleo caput tabulae, quod a pedibus est, feritur atque ita concussa aure ;

id

quod

inest excidit.

8. Nares vero exculceratas fovere oportet vapore aquae calidae. Id et spongia expressa atque admota fit et subiecto vase oris angusti calida aqua repleto. Post id fomentum inlinenda ulcera sunt aut plumbi recremento aut cerussa aut argenti spuma cum :

quolibet

horum ^

teritur, in

.

.

,

aliquod conteri[t,] eique,

vicem vinum et oleum murteum

dum

adici[t],

donee

B

^ mellis crassitudinem fecerit. Sin autem ea ulcera circa os sunt pluresque crustas et odorem foedum habent, quod genus Graeci ozenam appellant, sciri quidem debet vix ei malo posse succurri, Nihilo minus tamen haec temptari possunt, ut caput ad

cutem tondeatur adsidueque vehementer perfricetur, multa calida aqua perfundatur, multa dein ambulatio ^

After horum,

conteri, ^

The

and

Marx would

read

:

malagma debet aliquod

this is translated.

text here is corrupt

:

Marx

crassitudinem venerit, arid this

conjectures donee

ad mellis

is translated.

" Celsus is the first to use the word ozaena (Greek o^aiva, bad-smelling breath, of. Dioscorides IV. 140) of the ulcers, which are one of the causes of this condition Galen {Med., :

242

BOOK

VI.

7.

9-8.

I

B

round; for that will certainly catch it. If it is some inanimate object, it is to be withdrawn by an ear scoop or by a small blunt hook slightly bent. If these are ineffectual

it is possible to extract it resin as above. Also if a sneezing fit is induced, this easily moves it away or a forcible injection of water through an ear syringe. Again,

by means of

a plank may be arranged, having its middle supported and the ends unsupported. Upon this the patient is tied dovra, with the affected ear downwards, so that the ear projects beyond the end of the plank. Then the end of the plank at the patient's feet is struck with a mallet, and the ear being so jarred what is within drops out. 8. Now ulcerated nostrils should be fomented with steam from hot water that is done either by applying a sponge after squeezing it out, or by holding the nose over a narrow-mouthed vessel filled with hot water. After this fomentation the ulcerations should be smeared with lead slag, white lead or litharge with any of these a kind of poultice is compounded, and to this, while it is being pounded up, wine and myrtle oil are added alternately, until it becomes of the consistency of honey. But if these ulcerations involve bone, and have numerous crusts with a foul odour, which kind the Greeks call ozaena," it ought to be understood that it is scarcely possible to afford relief in that disease. The following measures, none the less, can be tried the head may be shaved to the scalp, rubbed frequently and vigorously, and sluiced with quantities of hot water ; then the patient is to take a great deal of ;

;

:

19,

XIV. 785)

describes the relief of o^aiva

by the removal

of

polypi.

243

;;

CELSUS sit,

cibus modicus, neque acer neque valentissimus.

in narem ipsam mel cum exiguo modo resinae terebenthinae coiciatur (quod specillo quoque involuto lana fit) adtrahaturque spiritu is sucus, donee in ore gustus eius sentiatur. Sub his enim crustae

Turn

C

resolvuntur, quae turn per sternumenta elidi debent. Puris ulceribus vapor aquae calidae subiciendus est

deinde adhibendum aut Lycium ex vino dilutum, aut amurca aut omphacium aut mentae aut marrubii sucus aut atramentum sutorium, quod concandefactum, deinde contritum sit; aut interior scillae

D

pars contrita, sic ut horum cuilibet mel adiciatur. Cuius in ceteris admodum exigua pars esse debet

atramento sutorio tanta, ut ea mixtura liquida fiat scilla utique pars maior; involvendumque lana specillum est, et in eo medicament© tinguendum, eoque ulcera inplenda sunt. Rursusque linamentum involutum et oblongum eodem medicamento inliin

cum

nendum demittendumque in narem

est et

ab inferiore

parte leniter deligandum. Idque per hiemem et ver bis die, per aestatem et autumnum ter die fieri debet. 2

Interdum vero

dam imis

Has

244

etiam carunculae quaenascuntur, eaeque

mammis

partibus, quae carnosissimae sunt, inhaerent.

medicamentis adurentibus, sub consumuntur. Polypus vero est modo alba modo subrubra, quae narium inhaeret, ac modo ad labra tendens narem ciu-are oportet

quibus ex caruncula, ossi

in naribus

similes mub'ebribus

toto

BOOK

VI.

8.

I

B-2

exercise, and a moderate amount of food, neither sour nor very nutritious. Further, into the nostril itself may be inserted honey to which a very small quantity of turpentine resin has been added (this is done on a probe wrapped round with wool), and this juice is drawn inwards by the breath until it can be tasted in the mouth. For in this way the crusts are loosened, and they should then be blown out by sneezing. The ulcerations having been cleaned are steamed over hot water; then there should be applied either boxthorn juice diluted with wine or wine lees or omphacium or the juice of mint or horehound or blacking made glowing hot and then pounded, or the interior part of a squill crushed; provided that to any of these honey is added. The honey should be a very small part in all these mixtures, except with the blacking, when there should be just enough to make the mixture liquid, whilst with the squill certainly the honey should form the larger part ; a probe should be wrapped round with wool, and dipped into this medicament, and with it the ulcers are filled. And further, a strip of linen is folded into a long roll, smeared with the same medicament, and inserted into the nostril, and is lightly bandaged on below. This should be done in winter and spring twice a day, in summer and autumn three times a day. Again, inside the nostrils there are sometimes formed little lumps like women's nipples, and these are fixed by their deepest and most fleshy parts. These should be treated by caustics, under which they are completely eaten away. A polypus, in fact, is a lump of this sort, sometimes white, sometimes reddish, which is attached to the bone of the nose, and fills the nostril, being directed

245

CELSUS

B

implet, modo retro per id foramen, quo spiritus a naribus ad fauces descendit, adeo increscit, uti post uvam conspici possit strangulatque hominem, maxime austro aut euro flante fereque mollis est, raro dura, eaque magis spiritum impedit et nares dilatat ; quae fere carcinodes est itaque attingi non debet. lUud aliud genus fere quidem ferro curatur, interdum tamen inarescit, si addita in narem per linamentum aut penicillum ea compositio ;

;

;

(>uae

est,

habet: mini Sinopici, singulorum P. I

sandaracae, P.

•}(•

chalcitidis, calcis,

;

atramenti

sutori

^ II.

9. In dentium autem dolore, qui ipse quoque maximis tormentis adnumerari potest, vinum ex toto circumcidendum est. Cibo quoque primo abstinendum, deinde eo modico mollique utendum, ne mandentis dentes inritet tum extrinsecus admovendus per spongiam vapor aquae calidae, inponendumque ceratum ex eyprino exve irino factum, lanaque id conprehendendum, caputque velandum est. Quod ;

gravior dolor est, utiliter et alvus ducitur, et calida super maxillas inponuntur, et ore umor calidus cum medicamentis aliquibus continetur,

si

cataplasmata 2

saepiusque mutatur. Cuius rei causa et quinqueradix in vino mixto coquitur, et hyoscyami radix vel in posca vel in vino, sic ut paulum his salis adiciatur et papaveris non nimium aridi cortices et mandragorae radix eodem modo. Sed in his tribus utique folii

vitandum

Ex

est,

ne,

quod haustum

»

246

erit,

devoretur.

populo quoque alba cortex radicis in hunc usum

VU.

10,

;

BOOK

VI.

2-9. 2

sometimes towards the lips, sometimes backwards through that passage by which the breath goes from the nose to the throat. In this direction it may grow until it can be seen behind the uvula it chokes the patient, especially when the south or east wind blows generally it is soft, rarely hard, and the latter sort hinders breathing more and dilates the nose; it is then generally cancerous, and so should not be touched. But the other kind can generally be removed by the knife"; sometimes, however, it dries up, if the following composition is inserted into the nostril on lint or on a feather minium from Sinope, copper ore, lime, and sandarach 4 grms. each, blacking 8 grms. 9. Now in the case of pain in the teeth, which by itself also can be counted among the greatest of torments, wine must be entirely cut off. At first the patient must fast, then take sparingly of soft food, so as not to irritate the teeth when masticating then externally steam from hot water is to be applied by a sponge, and an ointment put on made from Cyprus or iris oil, with a woollen bandage over it. and the head must be wrapped up. For more severe pain a clyster is useful, with a hot poultice upon the cheeks, and hot water containing certain medicaments held in the mouth and frequently changed. For this purpose cinquefoil root may be boiled in diluted wine, and hyoscyamus root either in vinegar and water, or in wine, with the addition of a little salt, also poppy-head skins not too dry and mandragora root in the same condition. But with these three remedies, the patient should carefully avoid swallowing the fluid in the mouth. The bark of white poplar roots boiled in diluted wine may be ;

;

:

247

CELSUS mixto recte coquitur, et in aceto cornus ramentum, et nepeta cum taeda pingui ac item pingui vel in mulso vel in aceto et melle ex

in vino

cervini ficu

;

quibus cum ficus decocta est, is umor percolatur. 3 Specillum quoque lana involutum in calidum oleum demittitur, eoque ipse dens fovetur. Quin etiam quaedam quasi cataplasmata in dentem ipsum inlinuntur; ad quem usum ex male Punico acido arido malicorii pars interior cum pari portione et gallae et pinei corticis conteritur, misceturque his minium eaque contrita aqua pluvia[ti]li coguntur. Aut panacis, papaveris lacrimae, peucedani, uvae taminiae sine seminibus pares portiones conteruntur. Aut galbani partes tres, papaveris lacrimae pars quarta. Quicquid dentibus admotum est, nihilo minus supra maxillas ceratum, quale supra (1) posui, Quidam etiam mujrae, 4 esse debet lana optentum. ;

cardamomi, P.

^ VIII

umero

singulorum P. -Jf singulorum

pyrethri,

croci,

;

P.

^

IIII

;

sinapis

contrita linteolo inlinunt, inponuntque in

partis eius,

a scapulis levat, et

I

spartes,

ficorum,

;

si

cum

qua dens dolet

:

inferior, a pectore

levavit, protinus

si is ;

superior est,

idque dolorem

summovendum

5 Si vero exesus est dens, festinare ad

est.

eximendum eum,

non est necesse sed turn omnibus fomentis, quae supra (3 seq.) posita sunt, adiciendae quaedam valentiores conpositiones sunt quae dolorem nisi res coegit,

:

levant; qualis Herae est. Habet autem papaveris X*, piperis P. -Jf II ; soreos P. lacrimae P. -Jf I quae contrita galbano excipiuntur, idque circum;

248

^

BOOK

VI.

9-

2-5

appropriately used for the same purpose, and stag's horn shavings boiled in vinegar, and catmint together with a torch rich in resin and a fig equally rich boiled either in honey wine or in vinegar and honey. When the fig has been boiled down with these, this fluid is strained. Also a probe wrapped round with wool is dipped in hot oil, and the tooth itself fomented with this. Moreover, some applications, like poultices, are smeared on the tooth itself, and for this purpose the inside rind of an unripe dry pomegranate is pounded up with equal parts of oak-galls and pine bark, with which minium is mixed and these when pounded together are made up with rain-water. Or equal quantities of all-heal, poppy-tears, sulphur wort, and black bryony berries without the seeds are pounded together. Or three parts of galbanum to one of poppy juice. Whatever is applied to the teeth directly, none the less the ointment mentioned above must also be put on the jaws and covered over with wool. Some rub up together myrrh and cardamoms, 4 grms. each saffron chamomile figs and broom 16 grms. each and mustard 32 grms. spread it on lint and apply to the shoulder on the side of the painful tooth over the shoulder-blade, if it is an upper tooth on the chest if a lower one and this relieves the pain, and as soon as it has relieved it, must be at once taken off. When a tooth decays, there is no hurry to extract it, unless it cannot be helped, but rather to the various applications des;

;

;

;

;

;

;

cribed above, we must add more active compositions for the relief of pain, such as that of Heras. This has poppy juice 4 grms.; pepper 8 grms.; sory 40 grms., pounded, taken up in galbanum, and :

249

CELSUS datur

aut

;

dentes,

Menemachi, maxime qua sunt croci P. -X-

=

in

turis fuliginis,

^

ad

maxillares

cardamomi, ficorum, spartes, pyrethri, singulorum ;

sinapis P. -X- VIII. P. IIII Quidam autem miscent pyrethri, piperis, elateri, spartes, singulorum P. aluminis scissilis, papaveris lacrimae, uvae I taminiae, sulpuris ignem non experti, bituminis, lauri

^

6

;

;

bacarum,

sinapis,

dolor eximi liberatum, et [id]

eum

P. -Jf II. Quod si piperis semen cortice

singulorum cogit,

et

eodem modo baca hederae

foramen dentem

findit,

coniecta in isque per testas excidet.

piscis, quam pastinacam nostri, trygona Graeci vocant, aculeus torretur, deinde conteritur resinaque excipitur, quae denti circumdata hunc

Et plani

Et alumen

.^ in foramen conSed id tamen involutum in lanula demitti commodius est, quia sic dente servato dolorem levat. Haec medicis accepta sunt. Sed agrestium experimento cognitum est, cum dens dolet, herbam mentastrum cum suis radicibus evelli debere, et in pelvem coici, supraque aquam infundi, collocarique iuxta sedentem hominem undique veste contectum tum in pelvem candentes silices demitti, hominemque eum hiante ore sic ut aqua tegantur vaporem excipere, ut supra dictum est, undique

solvit.

iectum dentem

7

scissile et

.

.

citat.

;

;

inclusum. Nam et sudor plurimus sequitur, et per OS continens pituita defluit, idque saepe longiorem,

semper annuam valetudinem bonam praestat. 10. Si vero tonsillae sine exulceratione per inflam^

Probably some word has fallen out here.

id in for et in, V. d.

Linden suggests

One MS. has

id for in.

" The sting ray (Pliny, N.H. IX. 155); the spine calcined would produce calcium oxide, quick-lime.

250

BOOK

VI.

9.

5-10.

I

applied round the tooth or that of Menemachus, especially for molar teeth, containing safFronO-66 grm., cardamons, frankincense root, figs, broom and pellitory 16 grms. each mustard 32 grms. Again, some mix chamomile, pepper, elaterium and broom 4 grms. each; shredded alum, poppy juice, black bryony berries, crude sulphur, bitumen, laurel berries and mustard 8 grms. each. But if pain compels its removal, a peppercorn without the tegument, or an ivy berry without the tegument is inserted into the cavity of the tooth, which it splits, and the tooth falls out in bits. Also the tail spine of the flat fish which we call pastinaca,and the Greeks trygon," is roasted, pounded and taken up in resin, and this, when applied around the tooth, loosens it. Also shredded alum and put into the cavity loosens the tooth. However, it is better to insert this wrapped up in a flake of wool, for it thus relieves the pain whilst preserving the tooth. These are the remedies recognized by medical practitioners, but country people have found out by experience that if a tooth aches, catmint should be pulled up with its roots, and put into a pot, and water poured over it, and placed beside the patient as he sits all covered by clothes then red-hot stones are thrown in so as to be covered by the water; the patient inhales the steam with his mouth open, whilst, as stated above, he is completely covered over. For profuse sweating follows, and also a steady stream of phlegm flows from the mouth, and this ensures good health always for a year, and often for longer. 10. Again, if the tonsils * owing to inflammation ;

;

.

.

.

;

* is

See III. 370, note

6,

where an operation for their removal

described.

251

CELSUS mationem intumuerunt, caput velandum

est

;

ex-

vapore calido fovendus multa ambulatione utendum caput in lecto sublime habendum gargarizandumquereprimentibus. Radix quoque ea, quam dulcem appellant, contusa et in passo mulsove decocta idem praestat. Leniterque quibusdam medicamentis eas inlini non alienum est, 2 quae hoc modo fiunt ex malo Punico dulci sucus exprimitur, et eius sextarius in leni igne coquitur, donee ei mellis crassitudo est turn croci, murrae, aluminis scissilis, singulorum P. -Jf II per se conteruntur,paulatimque his adiciuntur vini lenis cyathiduo, mellis unus ; deinde priori suco ista miscentur, et rursus leniter incocuntur. Aut eiusdem suci sextarius eodem modo coquitur, atque eadem ratione omphaci nardi P. -Ktrita haec adiciuntur ; cinnamomi, murrae, casiae, singulorum P. -Jf I ; eadem autem haec et auribus et naribus P. ^ Cibus in hac quoque 3 purulentis adcommodata sunt. valetudine lenis esse debet, ne exasperet. Quod si tanta inflammatio est, ut spiritum impediat, in lecto conquiescendum, cibo abstinendum, neque adsumendum quicquam praeter aquam calidam est alvus gargarizandum ex fico et quoque ducenda est mulso inlinendum mel cum omphacio intrinsecus admovendus sed aliquanto diutius vapor calidus, donee ea suppurent et per se apei-iantur. Si pure substante non rumpuntur hi tumores, incidendi At 4 sunt ; deinde ex mulso calido gargarizandum. trinsecus

is

locus

;

;

;

:

;

:

—

—

;

;

;

;

"

;

Radix dulcis (yXvKvppil,a), liquorice, yielded a peculiar an important alternative to honey in the days before

sugar,

the introduction of cane sugar. * i.e. for a longer time than was necessary for the external treatment described in sect. 1. ' For the operation see VII. 12, 2. 3.

252

BOOK

VI. 10. 1-4

are swollen but not ulcerated, the head is to be kept covered; externally the painful part should be fomented by steam the patient is to take walking exercise freely; when in bed his head should be raised; repressive gargles should be used. Also that root which they call sweet," crushed and boiled in raisin wine or honey wine, has the same beneficial effect. It is useful to anoint them gently with certain medicaments prepared as follows the juice is squeezed out of sweet pomegranates, and of this half a litre is boiled over a slow fire until of the consistency of honey then saffron, myrrh, and shredded alum 8 grms. each are pounded together, and to this is added a little at a time 85 c.cm. of mild wine and 42 c.cm. of honey next these latter are mixed with the pomegranate juice aforesaid, and all gently boiled again. Or half a litre of the pomegranate juice is boiled in the same way, and the following after being pounded in like manner are added nard 0-33 grm. omphacium 4 grms. cinnamon, myrrh and casia 0-33 grm. each these same compositions are also appropriate both for purulent ears and nostrils. Food too in this affection should be bland that it may not irritate. If the inflammation is so severe that breathing is hindered, the patient should keep in bed, abstaining from food, and take nothing else except hot water; the bowels should be moved by a clyster, and the gargle of fig and honey wine used ; the tonsils are to be smeared with honey and omphacium; internally steam is to be inhaled somewhat longer* until the tonsils suppurate and spontaneously open. If after pus has formed these swellings do not burst, they are to be cut into then the patient must gargle with warm honeyed wine. ;

:

;

;

:

;

;

;

<^

;

253 VOL.

IT.

L

;

CELSUS modicus quidem tumor sed exulceratio est, furfurum cremori ad gargarizandum paulum mellis

si

adiciendum est

mento

;

inlinendaque ulcera hoc medica-

quam

dulcissimi tres heminae ad cocuntur turn adicitur turis P. ^ I ali P. ^ I eroci,murrae,singulorum P. ^ ; leviterque omnia rursus fervescunt. Ubi pura ulcera sunt, eodem furfurum cremore vel lacte gargarizandum est. Atque hie quoque cibis lenibus opus est, quibus :

passi

unam

;

;

=

;

adici dulce

vinum potest. autem oris

11. Ulcera

si

cum inflammatione

sunt

parum pura ac rubicunda

sunt, optume iis medicamentis curantur, quae [supra {cap. X, 2) posita] ex malis Punicis fiunt. Continendusque saepe ore reprimens cremor est, cui paulum mellis sit adiectum : utendum ambulationibus et non acri cibo. Simul atque vero pura ulcera esse coeperunt, lenis umor, interdum etiam quam optima aqua ore continenda est. Prodestque adsunjptum pirum mitius pleniorque cibus cum acri aceto inspergique ulcera debent alumine scissili, cui dimidio plus gallae inmaturae 2 sit adiectum. Si iam crustas habent, quales in adustis esse consuerunt, abhibendae sunt hae conpositiones, quas Graeci antheras nominant : iunci quadrati, murrae, sandaracae, aluminis pares portiones. Aut croci, murrae, singulorum P. -j?- I iridis, aluminis scissilis, sandaracae, singulorum P. IIII ; iunci quadrati P. -Jf VIII. Aut gallae, murrae, singulorum P. I ; aluminis scissilis P. -Jf II rosae foliorum P. IIII. Quidam autem croci P. -Jf ; aluminis scissilis, murrae, singulorum P. I ; sandaet

^

^

;

=

^

^

2,

«

VI. 10.

'

For these medicaments from flower blossoms, 15. 1 ; 18. 2, and see Galen (XIII. 839). ;

4

254

2. cf. V'l.

13.

;

BOOK

VI.

lo.

4-II. 2

only moderate swelling there is ulceration is to be gargled with bran gruel to which a little honey should be added and the ulcers smeared with the following composition 750 c.cm. of the sweetest raisin wine are boiled down to one-third, then are added frankincense 4 grms. garlic 4 grms ; saffron and myrrh 0-66 grm. each ; and all are then gently heated together. When the ulcers have cleaned, the throat is gargled with bran gruel or milk. And here also bland food is necessary, and in addition sweet wine can be taken. 11. Now ulcerations of the mouth if accompanied by inflammation, and if they are foul and reddish, are best treated by the medicaments made from pomegranates [mentioned above]." And, as a repressant, pearl barley gruel to which a little honey has been added is to be often held in the mouth the patient must walk and not take acrid food. As soon as the ulcerations begin to clean, a bland liquid, at times even the purest water, is held in the mouth. It is then beneficial to eat a pear of the softer sort, and more food along with sharp vinegar then the ulcers should be dusted over with split alum, to which about half as much again of unripe oak-galls has been added. If the ulcers are already encrusted, as happens after cauterization, those compositions are to be applied which the Greeks call antherae * equal portions of galingale, myrrh, sanOr saffron and myrrh 4 grms. darach, and alum. each iris, split alum and sandarach 16 grms. each Or oak-galls and myrrh 4 grms. galingale 32 grms. each; split alum 8 grms. rose leaves 16 grms. But some mix saffron 0-66 grm. ; split alum and myrrh. 4 grms. each; sandarach 8 grms. ; galingale 16 grrns^

But

if with

as well, the throat

;

:

:

;

;

;

:

;

;

255

;

CELSUS racae P. -Jf 11 ; iunci quadrati P. •}(• IIII miscent. Priora arida insperguntur hoc cum melle inlinitur, neque ulceribus tantum sed etiam tonsillis. Varum ea longe periculosissima sunt ulcera, quas 3 apthas Graeci appellant, sed in pueris hos enim saepe coiisumunt, in viris et mulieribus idem periculum non est. Haec ulcera a gingivis incipiunt deinde palatum totumque os occupant ; turn ad uvam faucesque descendunt, quibus obsessis non :

:

facile

fit,

Ac miserius etiam quo minus imperari

ut puer convalescat.

adhuc infans

est, si lactens

4 remedium

aliquod

potest.

est,

Sec

inprimis

nutrix

cogenda est exerceri et ambulationibus et iis operibus, quae superiores partes movent mittenda in balineum iubendaque ibi calida aqua mammas perfundere tum alenda cibis lenibus et iis, qui non facile corrumpuntur potione, si febricitat puer, aquae si sine ;

;

:

febre est, vini diluti. 6

Ac

si

alvus nutricis substitit,

vomere debet. perunguenda sunt melle, cui rhus, quem Syriacum vocant, aut amarae nuces adiectae ducenda

Tum sunt

est.

Si pituita eius in os coit,

ipsa ulcera

;

vel mixtis

inter se rosae foliis aridis, pineis

nucleis, menta,^ coliculo, melle, vel eo

quod ex moris

fit,

medicamento,

quorum sucus eodem modo quo

Punici mali ad mellis crassitudinem coquitur eademque ratione ei crocum, murra, alumen, vinum, mel, miscetur neque quicquam dandum, a quo umor 6 evocari possit. Si vero iam firmiorpuer est,gargari;

:

*

Daremberg suggests mentae coliculo "young mint-stalks." • I.

256

196 note; Appendix

I, p.

591.

;

BOOK

VI. II. 2-6

The

first compositions are dried and then dusted on ; the last one is smeared on with honey added, and used not only for ulcerations of the mouth, but also of the tonsils. But by far the most dangerous are those ulcers which the Greeks call aphthae,** certainly in children in them they often cause death, but there is not the

same danger

for

men and women.

These ulcers

begin from the gums next they invade the palate and the whole mouth then they pass downwards to the uvula and throat, and if these are involved, it is not easy for the child to recover. But the disease is even worse in a suckling, for there is then less possdbility of its conquest by any remedy. But it is most important that the nurse should be made to take exercise both by walking and by doing work which moves her arms she should be sent to the bath, and ordered when there to have hot water poured over her breasts moreover, she should have bland, easily digestible food and for drink, if the infant is feverish, water ; if free from fever, diluted wine. And if the nurse is constipated, her bowels are to be moved by a clyster. If there is clotted phlegm in her mouth, she must vomit. Then the child's ulcers are to be anointed with honey, to which is added sumach, which they call Syrian, or bitter almonds or a mixture of dried rose leaves, pinecone seeds, mint, young stalks, and honey, or that medicament which is made of mulberries, the juice of which is concentrated in the same way as pomegranate juice to the consistency of honey similarly too there is mixed with it saffron, myrrh, alum, wine and honey; nothing should be given which can provoke spittle. If it is an older child he should :

;

;

;

;

;

;

257

CELSUS quae supra (cap.X, 3,4)conprehensa medicamenta in eo parum proficiunt, adhibenda sunt ea, quae adurendo crustas ulceribus inducant. Quale est scissile alumen vel chalcitis vel atramentum sutorium. Prodest etiam fames et abstinentia quanta maxime inperari potest. Cibus esse debet lenis ad purganda tamen ulcera interdum caseus ex melle reete datur. 12. Linguae quoque ulcera non aliis medicamentis egent, quam quae prima parte superioris capitis Sed quae in latere eius (11, 1. 2) exposita sunt. videndumque est, nascuntur, diutissime durant num contra dens aliquis acutior sit, qui sanescere saepe ulcus eo loco non sinit, ideoque levandus est. 13. Solent etiam interdum iuxta dentes in gingivis zare debet

Ac

sunt.

fere,

is

si

lenia

:

;

tubercula appellant.

oportet

;

quaedam oriri dolentia parulidas Graeci Haec initio leniter sale contrito perfricare :

aut inter se mixtis sale fossili combusto, deinde eluere os cremore lenti;

cupresso, nepeta

culae, inter haec hiare,

donee pituita

satis profluat.

In maiore vero inflammatione iisdem medicamentis utendum est, quae ad ulcera oris supra (cap. XI) posita sunt

ex

iis

et mollis linamenti

:

demittendumque

{cap. XI, gingivam.

2),

trinsecus

admovendus

^

Quod

si

t

erit

id

Marx

^

dentem

et

prohibebit ex-

spongia vapor calidus,

Alternatively dolor in ore for duriore. is translated.

inter

id

duriore

The reading of one MS. " durior

" duriore "

258

paulum involvendum

aliqua compositione, quas anther as vocari dixi

erit

Targa

et " in 'place of suggests tumor,

BOOK

VI. II. 6-13. 2

generally gargle as described above. If the milder medicaments do little good, the caustic materials which induce crusts upon the ulcers should be applied, such as split alum or copper ore or blacking. Even hunger is beneficial and the greatest possible abstinence is to be ordered. The food ought to be bland for cleansing the ulcers, however, sometimes cheese with honey is appropriately given. 12. Ulcerations of the tongue need no other treatment than that noted in the first part of the previous chapter. But those which arise at the side of the tongue last the longest and it should be looked to, whether some tooth opposite the ulcer is too pointed, which often keeps an ulceration in that position from healing, in which case the tooth must ;

;

be smoothed down. 13. There often occur on the gums adjacent to the teeth certain painful swellings the Greeks call them parulides." These at first should be gently rubbed over with powdered salt or with a mixture of powdered rock-salt, Cyprus oil and catmint then the mouth is washed out with lentil gruel, and the mouth is held open at intervals until there has been a sufficient flow of phlegm. When there is still more severe inflammation, the same medicaments are to be used as noted above for and between the tooth ulcerations of the mouth and gum should be inserted a little roll of soft lint soaked in one of the compositions which I said If the hardness of the gum are called antherae.'' prevents this, then hot steam by means of a sponge :

;

;

:

«

Parulis

(napovXCs,

Galen,

XIV.

785),

a gumboil;

not

mentioned elsewhere by Celsus. *

p. 254, note

b.

259

;

CELSUS inponendumque ceratum. Si suppuratio se ostendet, utendum erit, et continendum ore calidum mulsum, in quo ficus decocta sit idque subcrudum incidendum, ne, si diutius ibi pus remanserit, os laedat. Quod si maior is tumor est, commodius totum exciditur, sic ut ex utraque parte dens liberetur. Pure exempto si levls plaga est, satis diutius eo vapore

;

3

est ore calidam

aquam

eodem vapore

si

continere, extrinsecus fovere

maior est, lenticulae cremore uti iisdemque medicamentis, quibus cetera ulcera oris curantur.

;

Alia quoque ulcera in gingivis plerumque

eadem quae in reliquo ore succurrunt maxime tamen mandere ligustrum oportet, sucumque oriuntur, quibus

4

eum

ore continere.

Fit etiam interdum, ut gingivae

non fuit, diutius pus quod aut dente corrupto, aut fracto vel *

ulcere, sive parulis fuit sive

feratur .

.

.

;

aliterque vitiato osse

evenire consuevit.

dens eximendus

Ubi

;

maximeque

id per fissum

locus

aperiendus,

incidit,

qua excessit, recipienda est si quid vitiosi est, radendum. Post quae quid fieri debeat, supra (cap. XI) in aliorum ulcerum curatione conprehensum est. Si vero a ;

testa ossis,

si

;

dentibus gingivae recedunt, eaedem antherae sucUtile est etiam pira aut mala non permatura mandere, et ore eum umorem continere. Idemque praestare non acre acetum in ore retentum potest.

currunt.

^ Marx supplies laeso oritur after vel, V. d. Linden deletes quod.

260

and

this is translated.

;

BOOK

VI. 13. 2-4

to be applied outside, followed by a cerate. If suppuration shows itself, the steaming is continued longer, and hot honey wine in which a fig has been boiled down is held in the mouth and before the abscess is quite mature it should be cut into, for fear that the bone may suffer if the pus should be retained longer. But if there is greater swelling, it is better to cut all away so as to free the tooth on both sides. When the pus is let out, if the incision is small it will suffice to hold hot water in the mouth and to foment externally with its steam if it is larger, lentil gruel should be used, and the same medicaments as for the treatment of ulcerations of the mouth in general. There are also other ulcerations, mostly arising in the gums, for which the same remedies are beneficial in particular, however, privet should be chewed and the juice held in the mouth. It happens now and then, whether following a gumboil or not, that a discharge of pus persists from an ulcer on the gum this is due to either a decayed tooth or to bone that is broken or injured and diseased in some other way, and it most commonly occurs through a fissure in the bone. When this is the case, the place must be laid open, the tooth extracted; any projecting scale of bone is to be removed; and any carious bone scraped away. What ought to be done after this has been included in the treatment of other ulcerations. If the gums have retracted from the teeth, the same antherae are of service. It is also useful to chew pears and apples which are not too ripe, and to hold their juice in the mouth. Vinegar that is not too sharp can also be held in the mouth with similar advantage. is

;

;

;

261

CELSUS 14.

debet.

Uvae vehemens inflammatio

terrere quoque

Itaque in hac et abstinentia necessaria

et sanguis recte mittitur

;

et

si

est,

id aliqua res prohibet,

caputque super haec velandum turn aqua gargarizanest dum, in qua simul rubus et lenticula decocta sit. Inlinenda autem ipsa uva vel omphacio vel galla vel alumine scissili, sic ut cuilibet eorum mel adiciatur; chelidoniae quoque suco per coclear inlita uva prodest.^ Est etiam medicamenmaximeque tum hue aptum, quod Andronium appellatur. Conalumine scissih, squama aeris rubri, stat ex his atramento sutorio, galla, murra, misy quae per se contrita mixtaque rursus paulatim adiecto vino austero teruntur, donee his mellis crassitudo sit. 2 Ubi horum aliquo inlita uva est, fere multa pituita decurrit cumque ea quievit, ex vino calido gargarizandum est. Quod si minor ea inflammatio est, alvus utiliter ducitur

;

habendum

et sublimius

.

.

:

.

:

;

;

aquam satis est, eamque aquam cocleario exceptam ipsi uvae subicere. Ac mediocriter earn tumentem aqua quoque frigida eodem modo subiecta reprimit. Ex eadem autem

laser terere, eique adicere frigidam

est, quae vel cum lasere uvae subiecta est. 15. Si quando autem ulcera oris cancer invasit, primum considerandum est, num malus corporis habitus sit, eique occurrendum; deinde ipsa ulcera

aqua gargarizandum quoque vel sine eo hac ratione

^ The text is doubtful. Some editors and MSS. omit the words prodest. // they are retained, something must chelidoniae . . Marx suggests cum meile. be supplied after maximeque. .

262

BOOK

VI. 14. 1-15.

I

14. Inflammation of the uvula should also cause In this case, as before, anxiety when severe. abstinence is necessary, and it is right to let blood; and if anything prevents this, it is useful and also the head must be to clyster the bowel kept covered and raised; and the patient must gargle with a decoction of blackberries and lentils. But the uvula itself is to be smeared either with omphacium or oak-galls or split alum to any one of which honey has been added; it is also good to smear the uvula with chelidonium juice by means For this of a spoon, and especially (with honey). purpose also the composition called Andronium is split alum, red copyier consists of it suitable ;

:

;

blacking, oak-galls, myrrh and antimony these are pounded separately and again sulphide pounded when mixed together, a dry wine being gradually added till the ingredients have the conAfter the uvula has been smeared sistency of honey. with one of these compounds there is, as a rule, a free flow of phlegm; when this has subsided, hot wine should be gargled. But if there is less severe inflammation, it is sufficient to pound up assafoetida and add cold water to it, and to put the fluid into

scales,

;

a spoon and apply it under the uvula itself. When there is only moderate swelling, even cold water held in the same way under the uvula subdues it. Also the same cold water is to be used as a gargle which, with or without the addition of assafoetida, has been applied in this manner to the uvula. 15. If at any time gangrene has attacked ulcers of the mouth, the first thing to consider is whether the genei-al health is bad, and if so to obviate it; next the actual ulcers are to be treated. But if the 263

:;

CELSUS si in summa parte id vitium est, anthera umido ulceri arida inspersa sicciori cum exigua parte mellis inlita si paulo altius, chartae conbustae partes duae, auripigmenti pars una si penitus malum descendit, chartae conbustae partes tres, auripigmenti pars quarta,

Quod

curanda. satis

proficit

:

:

aut pares portiones 2

sails fricti et iridis frictae,

aut

item pares portiones chalcitidis. calcis, auripigmenti. Necessarium autem est linamentum in rosa tinguere, et super adurentia medicamenta inponere, ne vicinum et sanum locum laedant. Quidam etiam in acris aceti heminam frictum salem coiciunt, donee tabescere desinat deinde id acetum coqunt, donee exsiccetur eumque salem contritum inspergunt. Quotiens autem medicamentum inicitur, et ante et post OS diluendum est vel cremore lenticulae vel aqua, in qua aut ervum aut oleae verbenaeve decoctae sint, sic ut cuilibet eorum paulum mellis misceatur. Acetum quoque ex scilla retentum ore satis adversus haec ulcera proficit, item ex aceto cocto sali, sicut supra (2) demonstratum est, rursus mixtum acetum. Sed et diu continere utrumlibet, et id bis aut ter die facere, prout vehemens malum est, necessarium est. Quod si puer est, cui id incidit, specillum lana involutum in medicamentum demittendum est, et super ulcus tenendum, ne per inprudentiam adurentia devoret. Si in gingivis est, moventurque aliqui dentes, refigi eos oportet ;

;

3

4

nam

curationes

medicamenta Quod tamen 264

vehementer

inpediunt.

Si

nihil

erunt adurenda. in labris ideo non est necessarium, proficient,

ulcera

BOOK disease

is

superficial, it

VI. 15. 1-4 is

sufficient to use a

powdered

anthera to dust on the ulcer if moist if the ulcer is rather dry, to smear it on mixed with a little honey for somewhat deeper ulcerations, apply burnt papyrus two parts, and orpiment one part if the mischief penetrates very deeply, burnt papyrus three parts, orpiment one part, or equal parts of rock salt and roasted iris, or copper ore, quick-lime and orpiment, likewise equal parts. But in order that neighbouring spots may not be injured, it is necessary to apply lint dipped in rose oil over these caustic medicaments. Some also put the roasted salt into 250 c.cm. of strong vinegar until it ceases to dissolve then the vinegar is boiled to dryness, and the salt pounded up and dusted on. But whenever this medicament is applied, the mouth should be washed out both before and after, either with lentil gruel, or with a decoction of vetches or of olives or of vervains, to any one of which a little honey is added. Also vinegar of squills held sufficiently long in the mouth is beneficial for such ulceration, so too the salt after evaporation as described above dissolved again in vinegar. But whilst the affection continues to be severe it is necessary both to hold one or other of the remedies in the mouth for some time and to use them two or three times a day. If it is a child who is attacked, a probe wrapped round with wool is dipped in the medicament and held to the ulcer, lest by accident he should swallow the caustic. If it is the gums which are involved, and some teeth are loose, they should be extracted, for they greatly hinder treatment. If these medicaments do no good, the ulcers are to be cauterized. But this procedure is not necessary for any ulcer on ;

:

;

;

265

"

CELSUS quoniam excidere commodius est. Et id quidem, aeque adustum atque excisum, sine ea curatione, quae corpori manu adhibetur, inpleri non potest. Gingivarum vero ossa, quae hebetia sunt, in perpetuum ustione nudantur neque enim postea caro Inponenda tamen adustis lenticula est, increscit. :

donee sanitatem, qualis esse potest, recipiant. 16. Haec in capite fere medicamentis egent. vero auribus oriri parotides solent, modo ibi inflammatione orta, modo Id post longas febres illuc inpetu morbi converso. abscessus genus est itaque nullam novam curationem

Sub in

ipsis

secunda valetudine :

desiderat, animadversionem tantummodo banc habet [quia,] si sine morbo id intumuit, necessariam :

primum

reprimentium

faciendum

experimentum

adversa valetudine, illud inimicum est maturarique et quam primum aperiri commodius est. 17. Ad umbilicos vero prominentes, ne manu ferroque utendum sit, ante temptandum est, ut abstineatur, alvus his ducatur, inponatur super est;

si

umbilicum id, quod ex his constat cicutae et fuliginis, singulorum P. }( I cerussae elotae P. -X- VI phimbi eloti P. ^ VIII; ovis duobus, quibus etiam solani sucus adicitur. Hoc etiam diutius inpositum esse :

;

;

sed interim conquiescere hominem, cibo

oportet

:

modico

uti, sic ut

vitentur omnia inflantia.

* Lenticula may be a lentil poultice to cleanse the wound, Some or dried and powdered lentils applied as an exedent. commentators think a cutting chisel or gouge is referred to, with a lentil shaped button on the point (scalper lerUiculnris, cf. VIII. 3. 4; 4. 14) which was to be used to scrape the bone. " during health * The parotid swellings that occurred

were perhaps mumps (cf. Hippocrates I. 146, Epidemics I. I): "After prolonged fevers," dryness and foulness of the motith might produce an infection whioh spread up the ducts to the

266

;

BOOK

VI. 15. 4-17.

I

the lips since excision is more convenient. Indeed such an ulcer, except by adopting surgical measures, whether cauterizing or excising, cannot be replenished with new flesh. But the bones of the gums, which are inert, continue bare after the cauteriza-

A

tion ; for no flesh grows up afterwards. lentil dressing," however, is to be applied to the parts cauterized until it is rendered as healthy as possible. 16. Such are the disorders in the head which generally require medicaments. But just below the ears parotid swellings are inclined to occur, sometimes during health when inflammation occurs there, sometimes after prolonged fevers when the force of the disease has been turned in that direction. It is of the nature of an abscession and so no novel treatment is called for, only what follows must be attended to : if there is swelling without previous disease, repressants are to be tried first ; if there has been illness, repressives are objectionable, and it is more convenient that the abscess should mature and be opened as soon as may be. 17. For prominent navels, in order that surgical ''

;

measures need not be used,*^ abstinence should first be tried, a clyster to induce a motion, and the following applications to the umbilicus hemlock and soot 4 grms. each washed white lead 24 grms. washed lead 32 grms.; 2 eggs; to these nightshade juice also is added. This ought to be kept on for a long time, the patient meanwhile lying up, and taking food in such moderation that all flatulence :

;

is

avoided.

parotid glands, while the " abscess " resulted from septic infection, especially an abdominal one. * VII. 14.

some general

267

CELSUS Proxima sunt ea, quae ad partes obscenas quarum apud Graecos vocabula et tolerabilius se habent et accepta iam usu sunt, cum in omni fere medicorum volumine atque sermone iactentur apud nos foediora verba ne consuetudine quidem aliqua verecundius loquentium commendata 18.

pertinent,

:

pudorem Neque tamen ea res a scribendo me deterrere debuit primum, ut omnia sunt, ut difficilior haec explanatio sit simul et et artis praecepta servantibus.

:

quae salutaria accepi, eonprehenderem dein, quia in volgus eorum curatio etiam praecipue cognoscenda est, quae invitissimus quisque alteri ostendit. Igitur si ex inflammatione coles intumuit reducique summa cutis aut rursus induci non potest, multa calida aqua fovendus locus est. Ubi vero glans contecta est, oriculario quoque clystere inter earn cutemque aqua calida inserenda est. Si moUita sic ;

2

,

et extenuata cutis ducenti paruit, expeditior reliqua Si tumor vicit, inponenda est vel lentimarrubium vel oleae folia ex vino cocta,

curatio est.

cula vel sic

dum teritur, mellis paululum sursumque coles ad ventrem deligandus Quod in omni curatione eius necessarium est;

ut cuilibet eorum,

adiciatur

B

est.

;

homo continere se et abstinere a cibo debet, et potione aquae tantum a siti vindicari. Postero die rursum adhibendum iisdem rationibus aquae fomenisque

tum

est, et

cum

vi

quoque experiendum, an

cutis

VII. 25. 2, where the condition is called phimosis dicebox); the first known use of the special term for this condition. " Cf.

(in6s,

268

BOOK

VI. i8. 1-2 B

18. Next come subjects relating parts, for which the terms employed

to

the privy

by the Greeks

more tolerable, and are now accepted for use, since they are met with in almost every medical

are the

Not even the common use has who would speak with modesty. Hence it is more difficult to set forth these matters and at the same time to observe both propriety and the precepts of the art. Nevertheless, this ought not to deter me from book and discourse.

commended our

coarser words for those

writing, firstly in order that I may include everything which I have heard of as salutary, secondly because their treatment ought above all things to be generally

understood, since every one is most unwilling to show such a complaint to another person. So then when the penis swells up owing to inflammation, and the foreskin cannot be drawn back, or conversely drawn forwards, the place should be fomented freely with hot water. But when the glans is covered up," hot water should be injected, between it and the foreskin, by means of an ear syringe. If the foreskin is thus softened and rendered thinner, and yields when drawn upon, the rest of the treatment is more speedy. If the swelling goes on, either lentil meal or horehound or oUve leaves, boiled in wine, is to be laid on, to each of which, whilst being pounded up, a little honey is to be added and the penis is to be bandaged upwards to the belly. That is required in the treatment of all its disorders and the patient ought to keep quiet and abstain from food, and drink water just so much as is justified by thirst. On the next day fomentations with water must again be applied in the same way, and even force should be tried as to ;

;

269 VOL.

II.

M

;;

CELSUS eaque si non parebit, leviter summa concidenda erit. Nam cum sanies profluxerit, extenuabitur is locus, et facilius cutis ducetur. Sive autem hoc modo victa erit, sive sequatur; scalpello

C

numquam

repugnaverit, ulcera vel in cutis ulteriore

parte vel in glande ultrave

quae necesse et purulenta.

fovenda

sunt

eam

in cole reperientur

pura siccave sint aut umida Si sicca sunt, primum aqua calida deinde inponendum Lycium ex

est aut

;

cum eodem

vino aut amurca cocta

cum

aut

rosa

buturum. Si levis is umor inest, vino eluenda sunt, tum buturo et rosae mellis paulum, et resinae terebenthinae pars quarta adicienda est eoque utendum. At si pus ex iis profluit, ante omnia elui mulso calido debent tum inponi piperis P. ^ I murrae P. croci, misyos cocti, singulorum P. -Jf II quae ex vino austero cocuntur, donee mellis crassitudinem habeant. Eadem autem conpositio tonsillis, uvae madenti, oris nariumque ulceribus accommodata est. Aliud ad eadem piperis P. ^ murrae P. -Jf croci P. >}f misy cocti P. -Jf I aeris combusti P. -Jf II quae primum ex vino austero conteruntur, deinde ubi inaruerunt, iterum teruntur ex passi tribus cyathis et incocuntur, donee visci crassitudinem habeant. Aerugo quoque cum cocto melle eaque quae ad oris ulcera supra (11, 1. 2) conprensa sunt [curant] aut Erasistrati conpositio ;

D

;

•}(•

;

*,

=

:

=

==

;

;

;

;

E

"

270

VI. 11.

1,

2

;

ako

prescriptions in chaps. 8 to 15.

=

;

BOOK

VI. i8. 2 B-E

whether the foreskin will yield if it does not give way, the foreskin is to be notched at its margin For when sanies has flowed out with a scalpel. this part will become thinner, and the foreskin the more easily drawn upon. But whether the foreskin is made to yield by this procedure, or whether it has at no time proved resistant, ulcerations will be ;

found, either in the ulterior part of the foreskin, or in the glans, or behind this in the penis, and these ulcerations must of necessity be either clean or dry If they are dry, they must or moist and purulent. then in the first place be fomented with hot water apply either buckthorn in wine, or olive lees in the same, or butter with rose oil. If there is a thin humour, the ulcerations should be bathed with wine, and then to butter and rose oil a little honey and a fourth part of turpentine resin is to be added and But when pus runs from the this dressing put on. ulcers, first they are to be bathed with hot honey wine ; then there is put on pepper 4 grms. ; myrrh 0-66 grm. ; saffron and boiled antimony sulphide these are heated in dry wine to the 8 grms. each consistency of honey. Moreover, the same composition is suitable for the tonsils, a dripping uvula, and Another ulcerations of the mouth and nostrils. for the same purpose consists of pepper and myrrh ;

:

;

0-66 grm. each ; saffron 1-33 grm. ; cooked antimony sulphide 4 grms. ; roasted copper 8 grms. ; these are

pounded together in dry wine, then, when they are dry, are again pounded up in 125 c.cm. of raisin wine and heated to the consistency of birdlime. Verdigris too mixed with boiled honey, also those compositions noted above for ulcerations of the mouth," or the compositions of Erasistratus or of

first

271

;;

CELSUS aut Cratonis recte super purulenta naturalia inponitur. ^ ex novem cyathis Foliorum quoque oleae P. -Jf vini cocuntur ; his adicitur aluminis scissilis P. IIII Lyci P. VIII ; mellis sex cyathi ac si plus puris est, id medicamentum ex melle ; si minus, ex vino diluitur, Illud perpetuum est, post curationem, dum inflammatio manet, quale supra (C) positum est, cataplasma super dare, et cotidie ulcera eadem ratione curare. Quod si pus et multum et ciun malo odore coepit profluere, elui cremore lenticulae debet, sic ut ei mellis paulum adiciatur. Aut oleae vel .

.

.

^

^

F

lentisci

G

folia

:

marrubium

vel

decoquendum

est,

eoque umore eodem modo cum melle utendum; inponendaque eadem aut etiam omphacium cum melle aut id, quod ex aerugine et melle ad aures fit aut conpositio Andronis aut anthera, sic ut ei paulum mellis adiciatur. Quidam omnia ulcera, de quibus adhuc dictum est, Lycio ex vino curant. Si vero ulcus latius atque altius serpit, eodem modo elui debet, inponi vero aut aerugo aut omphacium cum melle aut Andronis compositio aut marrubii, murrae aut croci, aluminis scissilis cocti, rosae foliorum aridorum, gallae, singulorum P. ^ I ; mini Sinopici P. II. Quae per se singula primum teruntur, deinde iuncta iterum melle adiecto, donee liquidi cerati crassitudinem habeant ; tum in aeneo vaso leniter cocuntur, ne superfluant. Cum iam guttae Indurescunt, vas ab igni removetur ; idque medicamentum, prout opus est, aut ex melle aut ex •}(•

H

^

MSS. folia which Targa keeps, omitting the is abserU from one MS. Marx emends

which

marks

the sign of quantity as incomplete.

'

272

VI.

7.

2 B, C.

sign of quantity, to

foliorum and

BOOK

VI. i8. 2 E-H

Cr.aton " are suitable for applying to suppurating genitals. Also olive leaves ^ are boiled in 375 c.cm. of wine, to which is added split alum 16 grms., lycium 32 grms. ; and 250 c.cm. of honey ; and if there is more pus, this medicament is made up with ,

honey;

,

.

with vnne. After treatment, the procedure, so long as the inflammation persists, is to apply a poultice such as was mentioned above, and to dress the ulcers daily in the same way. If a free discharge of foul pus begins, the ulcers should be bathed with lentil gruel to which a little honey has been added. Or a decoction is made of oUve or of mastich leaves, or of horehound, and the liquid used with honey in the same way ; and the same remedies are to be laid on or even omphacium with honey, or that prescription used for the ears containing verdigris and honey or Andron's composition,'' or an anthera,* as long as a little honey is added to it. Some treat all ulcerations of the kind here spoken of with lycium and wine. If the ulceration spreads more widely and deeply, it should be bathed in the same way, and then there should be applied either verdigris or omphacium with honey or Andron's composition or that containing horehound, myrrh or saffron, split alum boiled, dried rose leaves and oak-galls, 4 grms. each Sinopic minium 8 grms. These are pounded up first separately, then together again, with honey added, until of the consistency of a liquid cerate ; then gently heated in a bronze pot but not allowed to boil over. When drops from it begin to solidify, the pot is taken off the fire ; and this composition when it is to be if less,

general

,<^

;

The quantity VI.

7. 5.

is

doubtful, see critical note. " V. 20. 4. ' VI. 11.

2.

273

;

CELSUS vino liquatur. Idem autem per se etiam ad fistulas est. Solet etiam interdum ad nervos ulcus descendere, profluitque pituita multa, sanies tenuis malique odoris non coeta ^ aut aquae similis, in qua caro recens lota est doloresque is locus et punctiones habet. Id genus quamvis inter purulenta est, tamen lenibus medicamentis curandum est, utile

;

I

quale est emplastrum tetrapharmacum ex rosa liquatum, sic ut turis quoque paulum ei misceatur; aut id, quod ex buturo, rosa, resina, melle fit, supra (C) vero a me positum est; praecipueque id ulcus

multa calida aqua fovendum est, velandumque neque conunittendum. Interdum autem per ipsa ulcera coles sub cute exestur sic ut glans excidat sub quo casu cutis ipsa circumcidenda est. Perpetuumque est, quotiens glans aut ex cole aliquid vel excidit vel absciditur, banc non esse servandam, ne considat ulcerique adglutinetur, ac neque reduci possit postea, et fortasse fistulam quoque urinae claudat. Tubercula etiam, quae phumata Graeci vocant, circa glandem, oriuntur, quae vel medicamentis vel ferro aduruntur et cum crustae exciderunt, squama aeris inspergitur, ne quid ibi rursus increscat. Haec citra cancrum sunt qui cum in reliquis partibus tum in his quoque vel praecipue ulcf;ra

frigori

K

;

3

;

Incipit a nigritie. Quae si cutem occupavit, specillum subiciendum, eaque incidenda deinde orae vulsella prendendae tum quicquid

infestat.

protinus est '

and " * "*

274

;

;

The

text is corrupt.

Marx

suggests colorata for

non cocta,

this is translated.

» Par. 2 C. V. 19. 4. For these and their treatment see V. 18. 16 See Appendix, p. 689.

£E.

and

28. 9.

;;

BOOK used

by

is

VI. i8.

2

H-3

dissolved in honey or wine.

good

But the same

The

ulceration at times even penetrates to fibrous tissues ; there is a running discharge, then sanies, thin and foul, coloured or like water in which fresh meat has itself is

also

for fistulae.

been soaked and the place is painful and has a pricking sensation. This kind, although purulent, is none the less to be treated by bland applications, such as the tetrapharmacum plaster " dissolved in rose oil with the addition of a little frankincense or the composition made of butter, rose oil, resin and honey noted by me above.'' In particular this ulcer should be fomented freely with hot water, and should be kept covered, not exposed to cold. Sometimes through such an ulceration the penis is so eaten away underneath the foreskin that the glans falls off; in which case the foreskin itself must be cut away all round. It is the rule, whenever the glans or any part of the penis has fallen off, or has been cut away, that the foreskin should not be preserved, lest it come into contact, and adhere to the ulceration, so that afterwards it cannot be drawn back, and further perhaps may choke the urethra. Again, little tumours, which the Greeks call phymata,'' spring up around the glans they are burnt away by caustic or the cautery; when the crusts fall off, copper scales are dusted that no more may grow there. The foregoing ulcerations stop short of canker,"^ which in other parts, but here the more especially, attacks ulcerations. It begins in a black patch. If it invades the foreskin, at once a probe should be passed underneath, upon which the foreskin is to be incised and the margins seized with forceps then ;

;

275

CELSUS corruptum est excidendum, sic ut ex integro quoque paulum dematur; idque adurendum. Quotiens quid ustum est, hie quoque sequitur, ut inponenda deinde ubi crustae exciderunt, ulcera Ac si cancer ipsum colem occupavit, inspergenda aliqua sunt ex adurentibus, maximeque id, quod ex calce, chalcitide, auripigmento componitur. Si medicamenta vincuntur, hie quoque scalpello quicquid corruptum est, sic ut ahquid etiam integri trahat, praecidi debet. Illud quoque aeque perpetuum est, exciso cancro vulnus esse adurendum. Sed sive ex medicamentis sive ex ferro crustae occalluerunt, magnum periculum est, ne his decidentibus ex cole profusio sanguinis C insequatur. Ergo longa quiete et inmobili paene corpore opus est, donee ex ipso crustae ^ leniter lenticula sit

B sicut

alia

;

curentur.

resolvantur. Ac si vel volens aliquis vel inprudens, dum ingreditur inmature, crustas diduxit, et fluvit sanguis frigida aqua adhibenda est. Si haec parum

ad medicamenta, quae ne haec quidem succurrunt, aduri diligenter et timide debet, neque uUo postea motu dandus eidem periculo locus est. 4 Nonnumquam etiam id genus ibi cancri, quod phagedaena a Graecis nominatur, oriri solet. In quo minime difFerendum sed protinus iisdem medicamentis et, si parum valent, ferro adurendum. Quaedam etiam nigrities est, quae non sentitur, sed valet, decurrendum est sanguinem supprimunt.

'

Si

Crustae so Targa for the pure eae or cruste pure of

M8S.

'

276

V.28. 3B.

the

BOOK what

is

corrupted

is

VI. i8. 3-4

cut away, a

little

of the sound

removed this is followed by cauterWhenever there is any cauterization, it ization. follows too that here lentil meal is to be applied next tissue being also

;

;

when the crusts have separated the

ulcers are treated

like others. But if the canker invades the penis itself, some one of the caustics is dusted on, and especially that composed of quick-lime, copper ore and orpi-

ment. If medicaments fail, in this case also whatever is corrupted should be cut away with a scalpel, so It is far that some sound tissue is also removed. likewise the rule here that after the canker has been cut out, the wound is to be cauterized. But if hard scabs form, whether after caustics or the cautery, there is a great danger that haemorrhage from the penis will follow upon their separation. Therefore there is need for prolonged rest with the body almost immobile until the scabs gently separate from the penis. But if the patient, either purposely or accidentally, from moving about too soon, has detached the scabs and haemorrhage has occurred, If this has little cold water should be applied. effect, recourse must be had to medicaments which suppress haemorrhage. If these do not succeed either, the spot should be carefully and cautiously cauterized, and no opportunity afterwards given for the same risk by any sort of movement. Occasionally on this part there arises that kind of canker which the Greeks call phagedaena." In such a case there must be no delay whatever the treatment is immediate cauterization, whether with medicaments as above, or, if these have little effect, with the cautery. There is also a sort of blackness, which is insensitive, but spreads and, if we leave it :

277

;

CELSUS serpit ac, si sustinuimus, usque ad vesicam tendit, neque succurri postea potest. Si id in summa glande circa fistulam urinae est, prius in earn tenue specillum deinde id ferro demittendura est, ne claudatur ;

5

adurendum. Si vero alte penetravit, quicquid occupatum est, praecidendum est. Cetera eadem, quae in aliis cancris, facienda sunt. Occallescit etiam in cole interdum aliquid, idque omne paene sensu caret quod ipsum quoque excidi debet. Carbunculus autem ibi natus primum aqua ;

per oricularium clysterem eluendus

est

deinde

;

ipse quoque medicamentis urendus, maximeque chalcitide cum melle aut aerugine cum cocto melle, aut ovillo stercore fricto et contrito cum eodem melle. Ubi is excidit, liquidis medicamentis utendum est, quae ad oris ulcera conponuntur. 6 In testiculis vero si qua inflammatio sine ictu orta est, sanguis a talo mittendus est ; a cibo abstinendum

inponenda ex faba farina eo ex mulso cocta cum cumino contrito et ex melle cocto; aut contritum cuminum cum cerato ex rosa facto aut lini semen frictum, contritum et in mulso coctum; aut tritici farina ex mulso cocta cum cupresso; aut lilii radix contrita. At si idem induruerunt, inponi debet lini aut ex vel faeni Graeci semen ex mulso coctum cyprino ceratum; aut simila ex vino contrita, cui vetustior iam Si paulum croci sit adiectum. durities est, maxime proficit cucumeris agrestis radix Si ex ictu tument, in mulso cocta, deinde contrita. ;

;

B

' V. 28, 1. Cf. Scribonius Largus, 25, curbunculos quos avBpaKas dicunt. For Carbunculus oculi, VI. 6t 10. " V. 8. « Vol. I. p. 162 notes. (U. 10. 12.)

278

;

BOOK

VI. i8. 4-6 B

alone, extends even to the bladder, after which nothing can avail. If it is situated at the lip of the glans around the urethra, a fine probe should be inserted into the urethra first that it may not be closed up then the black patch burnt with the cautery. If it has gone deep, whatever is involved is to be cut away. The rest of the treatment is the same as for other kinds of canker. Again, now and then a callosity forms in the penis and it is almost entirely without feeling; this also should be excised. But if a carbuncle " occurs here, it is first to be irrigated with water through an ear syringe; next the growth is to be cauterized with medicaments, especially copper ore with honey or verdigris with boiled honey, or fried sheep's dung * pounded up similarly with honey. When the cai-buncle falls off, use the fluid medicaments prepared for ulcers of the mouth. But if any inflammation occurs in the testicles, not due to injury, blood is to be let from the ankle there must be abstinence from food and bean meal boiled in honey wine must be applied, along with ;

''

;

;

cumin rubbed up

in boiled honey ; or pounded cumin cerate or parched linseed, pounded up and boiled in honey wine or wheat flour in honey wine boiled with cyprus shoots or pounded lily root. If the testicles have become indurated, apply linseed or fenugreek seed boiled in honey wine or the cyprus oil cerate or fine wheat flour pounded up in wine to which a little saffron has been added. If the induration is already of long standing, the most efficacious thing is wild cucumber root boiled in honey wine, then pounded up. If the testicles swell as the result of an injury, it is necessary

with the rose

oil

;

;

;

;

;

279

;

CELSUS sanguinem mitti necessarium

est,

magisque

si

etiam

Inponendum vero utrumlibet ex iis, quae cum cumino conponuntur supraque (A) posita sunt livent.

^

aut ea conpositio, quae habet : nitri cocti P. I resinae pineae, cumini, singulorum P. II uvae taminiae sine seminibus P.-Jf IIII mellis quantum satis sit ad ea cogenda. Quod si ex ictu testiculus ali desit, fere pus quoque increscit, neque aliter succurri potest quam si inciso scroto et pus emissum et ipse testiculus excisus est. Anus quoque multa taediique plena mala recipit, 7 neque inter se multum abhorrentes curationes habet. Ac primum in eo saepe, et quidem pluribus locis, cutis scinditur ragadia Graeci vocant. Id si recens est, quiescere homo debet, et in aqua calida desidere. Columbina quoque ova coquenda sunt, et, ubi induruerunt, purganda deinde alterum deponefacere in aqua bene calida debet, alterum calidum loco subicere, sic ut invicem utroque aliquis utatur. Turn tetrapharmacum aut rhypodes ad hoc rosa diluendum est, aut oesypum recens miscendum cum cerato liquid© ex rosa facto aut eidem cerato plumbum B elotum aut adiciendum aut resinae terebenthinae murrae paulum, aut spumae argenti vetus oleum, et quolibet ex his id perunguendum. Si, quicquid

^

;

;

:

;

:

laesum est, extra est neque intus reconditum, eodem medicamento tinctum linamentum superdandum est et, quicquid ante adhibuimus, cerato contegendum. In hoc autem casu neque acribus cibis utendum est neque asperis neque alvum conprimentibus, ne aridum quidem quicquam satis utile est nisi « For these, cf. Galen XIII. 516 and 715. The surgical treatment of anal fissure is described in Book VII. 30. 1 S.

zSo

BOOK

VI. i8. 6 B-7 B

to let blood, especially if they are livid as well.

Then

one of the compositions containing cumin mentioned above should be put on; or the composition which contains fused soda 4 grms. pine resin and cumin, 8 grms. each black bryony berries without the seeds 16 grms. along with sufficient honey to combine them. If, as the result of an injury, the testicle lacks nutrition, generally pus develops then the only thing to be done is to cut into the scrotum, and let out the pus, and to excise the testicle :

;

;

;

;

itself.

The anus also is subject to many most tedious maladies, which do not require much variation in their treatment. In the firstplace, the skin of the anus is often fissured at several places the Greeks call these ragadia." If this is recent, the patient should keep quiet and sit in hot water. Further, pigeon's eggs are to be boiled until hard, shelled, and then one should be covered completely in very hot water, the other is applied hot to the place, the eggs being used thus turn and turn about. Then the tetrapharmacum " or the rhypodes " is to be diluted for use with rose oil or fresh wool-grease is mixed with the liquid cerate made up with rose oil ; or washed lead with the same cerate or a little myrrh is added to turpentine resin; or old oil to htharge; with any one of which the anus is smeared. If the lesion is external, not hidden inside, lint may be soaked in the same medicament and applied whatever is put on is to be covered by a cerate. In such a case also neither acrid nor coarse food is to be taken nor such as constipates dry food is not satisfactory ;

;

;

;

;

*

V. 19.

9.

*

V. 19. 15.

281

CELSUS admodum paulum 8

liquida, lenia, pinguia, glutinosa

:

Vino

meliora sunt.

Condyloma

leni uti nihil prohibet.

autem

tuberculum, quod ex Id ubi ortum est, quod ad quietem, cibos potionesque pertinet, eadem servari debent, quae proxime (7 A) scripta sunt iisdem etiam ovis recte tuberculum id fovetur. Seddesidere ante homo in aqua debet, in qua verbenae decoctae sunt ex reprimentibus. Turn recte inponitur et lenticula cum exigua parte mellis et sertula Campana ex vino cocta; et rubi folia contrita cum cerato ex rosa facto et cum eodem cerato contritum vel Cotonium malum, vel malicori ex vino cocti pars interior; et chalcitis cocta atque contrita, deinde oesypo ac rosa excepta et ex ea conpositione, quae habet turis P. ^ I aluminis est

quadam inflammatione

nasci solet.

:

;

;

B

;

:

scissilis

P.

-Sf

P.

V;

^

II

;

cerussae P.

quibus,

dum

^

III

;

spumae argenti

teruntur, invicem rosa et

Vinculum autem ei loco linteolum aut panniculus quadratus est, qui ad duo capita duas cumque ansas, ad latera duo totidem fascias habet subiectus est, ansis ad ventrem datis, posteriore

vinum

instillatur.

;

parte in eas adductae fasciae coiciuntur, atque ubi artatae sunt, dexterior sinistra, sinisterior dextra procedit, circumdataeque circa

C sime

deligantur.

Sed

si

alvum inter se noviscondyloma iam

vetus

neque sub his curationibus desidit, aduri medicamento potest, quod ex his constat aeruginis induruit,

:

• Cf.

282

V. 28. 2 B.

BOOK unless in very small glutinous nutriment

VI. i8.

amount; is

better.

7

B-8 c

liquid, mild, fatty

There

is

and

nothing to

prevent the use of mild wine. A condyloma " is a small tumour due to inflammation of some kind. WTien it appears the same prescriptions apply regarding rest, food and drink as have just been set out. Also the tumour itself may be properly treated by fomenting similarly with eggs. But the patient should first sit in a repressant decoction of vervains. Then we may properly apply lentil meal with a little honey, also mellilot boiled in wine, bramble leaves pounded up with the rose oil cerate or a quince, or the inner rind of a pomegranate boiled in wine, pounded up in the same cerate or copper ore boiled and pounded, then taken up in wool-grease and rose oil and the composition containing frankincense 4 grms., split alum 8 grms., white lead 12 grms., litharge 20 grms., into which whilst it is being pounded up rose oil and wine are dropped by turns. But the binder for this part is a square of linen or woollen cloth, which has a loop at each of two adjacent angles and a tape at each of the two opposite ones. The square having been applied underneath with the two loops upon the abdominal wall, the tapes are brought round from behind and passed through the loop on its corresponding side. Each tape being drawn tight, that on the right side is carried round the back to the left, and the left tape back and round to the right side. Finally, the ends of the tapes are tied together in front of the abdomen. But if a long-standing condyloma is already indurated and does not yield to the foregoing measures, it can be burnt with a caustic consisting of verdigris 4 ;

;

:

:

283

CELSUS murrae P. ^ IIII cummis P. VIII turis stibis, papaveris lacrimae, acaciae, XII singulorum P. -X- XVI, quo medicamento quidam etiam ulcera, de quibus proxime (2 CD) dixi, P. P.

-Jf

I

;

•}(•

;

;

;

"Sf

renovant. Si hoc parum in condylomate proficit, adhiberi possunt etiam vehementer adurentia. Ubi

9

consumptus est tumor, ad medicamenta lenia transeundum est. Tertium autem vitium ora venarum tamquam ex capitulis quibusdam surgentia, quae saepe sanguinem fundunt

:

haemorroidas Graeci vocant

idque etiam

;

Atque quibusdam parum tuto supprimitur, qui sanguinis habent enim purprofluvio inbecilliores non fiunt gationem hane, non morbum. Ideoque curati quidam, cum sanguis exitum non haberet, inclinata ad praecordia et ad viscera materia, subitis et gravissimis in ore volvae

feminarum incidere consuevit.

in

:

B

—

morbis correpti sunt. Si cui vero id nocet, is desidere in aqua ex verbenis debet, inponere maxime malicorium cum aridis rosae foliis contritum, aut ex iis Solet autem aliquid, quae sanguinem supprimunt. dura alvus oriri inflammatio maxime ubi maior ^ .

eum locum

laesit.

Tum

in

.

.

aqua dulci desidendum

fovendum ovis inponendi vitelli ciun rosae idque si intus est, digito ex passo subactis inlinendum; si extra, superinlitum panniculo imponendum est. Ea quoque medicamenta, quae recentibus scissuris posita (7 A B) sunt, hue idonea Cibis vero in hoc casu isdem quibus in prioribus sunt. est, et foliis

;

;

* Marx would add after maior impetus ventris cutem primum perrupit, delude, and this is translated. :

" p. 271. * «

284

Cf VII. 30. 2 for the surgical Cf. VII. 30. 3 for the surgical .

treatment of condylomata. treatment of haemorrhoids.

BOOK

VI. i8. 8 c-9 B

grms. ; myrrh 16 grms. ; cumin 32 grms. frankincense 48 grms. antimony sulphide, poppy juice, and acacia juice, 64 grms. each, and by this medicament some also produce a fresh surface on the ulcers, which I have described above." If this has little effect upon the condyloma it is possible to apply strong caustics. When the tumour has been eaten away, a change is made to mild medicaments.* There is also a third lesion, in which vein mouths rise up as from little heads which at frequent intervals pour out blood the Greeks call them haemorrhoids. In women they may even appear at the vulvar orifice. There are some in whom it is hardly safe to suppress such a flux of blood, those who are not the weaker for it for to these it is a purgation, not a disease. Hence some, after being cured, since the blood had no way out, and diseased matter was diverted towards the praecordia and viscera, have been carried off by sudden diseases of the gravest kind. But if the bleeding is doing harm to anyone, he should sit in a decoction of vervains, and the best thing to apply is pomegranate rind pounded up with dried rose leaves, or anything else that stops bleeding. But inflammation especially tends to occur when first a rather violent evacuation of the bowels has ruptured the epidermis, and later a hard stool has injured this spot.** Then the patient should sit in soft water and foment with eggs yolk of egg which has been stirred up with rose leaves and boiled in raisin wine is to be applied if the haemorrhoids are internal, by the finger, if external, spread upon linen. The medicaments* described above for recent fissures are suitable here also. In this case the diet ;

;

,'^

:

;

;

;

''

An

inflamed pile

is

the result.

'

VI. 18. 7 A.

285

CELSUS utendum est. Si ista parum iuvant, solent inposita C medicamenta adurentia ea capitula absumere. Ac si

iam vetustiora sunt, sub auctore Dionysio insperest, deinde inponendum id quod ex

genda sandraca his constat

P.

V;

•}(•

:

squamae

aeris, auripigmenti,

P.

saxi calcis

-Sf

VIII;

singulorum

postero die acu

eonpungendum. Adustis capitulis fit cicatrix, quae sanguinem fundi prohibet. Sed quotiens is suppressus est, ne quid periculi adferat, multa exerPraetereaque

citatione digerenda materia est. et feminis, quibus

ex brachio sanguis mittendus

At

10

si

purumne

an umore muccoso

Si

aut salsa aut

;

incocta.

Si

inlinendumque faece

modo curatum

vini conbusta.

est, intus

que plantago contrita

tum

est,

purum est, in aqua desidere homo cum verbenis vel malicorio umidum, vino austero subluendum est

circumdatum. debet

considerari debet,

fit),

quod provolutum

sit,

est.

anus ipse vel os vulvae procidit (nam id

quoque interdum id

viris

menstrua non proveniunt, interdum

reponendum

Ubi utrolibet est,

inponenda-

vel folia salicis in aceto cocta.

linteolum, et super lana

;

eaque deliganda sunt

cruribus inter se devinctis. 11

Fungo quoque solet

:

frigida

id,

si

aqua

eadem sede

simile ulcus in

hiemps

est,

fovendum

egelida est,

;

si

dein

nasci

aliud tempus,

squama

aeris

inspergenda, supraque ceratum ex murteo factum, 286

BOOK

VI. i8. 9 B-Ti

should be the same as in the preceding one. But if the above treatment has Httle effect, it is usual to apply caustics to destroy these small heads. If they are already of long standing, then, on the authority of Dionysius, sandarach should be dusted on, and after that the composition should be applied containing copper scales and orpiment 20 grms., limestone 32 grms. the next day the haemorrhoids are to be punctured with a needle. The small heads having been cauterized, a scab is produced which prevents blood from running out. But whenever haemorrhage is thus suppressed, the diseased matter is to be dispersed by free exercise that no danger ;

may

ensue. And besides, in men and in women are not menstruating, blood should be let from the arm now and then.

who

If the anus itself, or, as

sometimes happens, the

mouth of the womb, prolapses, examination should be made to see whether what is protruding is clean, or is covered by a mucous humour. If it is clean, the patient should sit in water either in salt water or in water boiled with vervains or pomegranate rind. If it is moist, it should be batlied with dry wine and smeared with roasted wine lees. After being treated in one of these ways, it is to be replaced, and pounded plantain or willow leaves boiled in vinegar applied, next lint, and wool over it and these must be bandaged on, whilst the legs are kept tied together. In the same place an ulceration like a fungus may ;

:

arise,

which must be bathed vdth lukewarm water

winter, at other seasons in cold water then copper scales are dusted on, and over that is applied a cerate made with myrtle oil to which has been in

;

287

CELSUS paulum squamae, fuliginis, calcis sit adiectum. hac ratione non tollitur, vel medicamentis vehemen

cui

Si

tioribus vel ferro

adurendum

est.

Digitorum autem vetera ulcera commodissime curantur aut Lycio aut amurca cocta, cum utrilibet vinum adiectum est. In iisdem recedere ab ungue 19.

caruncula

cum magno

Graeci appellant.

dum

dolore consuevit

— Oportet alumen

:

pterygion

Melinum rotun-

aqua liquare, donee mellis crassitudinem turn quantum eius aridi fuit, tantundem mellis infundere, et rudicula miscere, donee similis .^ ad croco color effiat, eoque inlinere. Quidam eundem usum decoquere simul malunt, cum paria pondera aluminis aridi et mellis miscuerunt. Si hac ratione ea non exciderunt, excidenda sunt; deinde digiti fovendi aqua ex verbenis, inponendumque super medicamentum ita factum chalcitis, malicorium, squama aeris excipiuntur fico pingui leniter cocta ex in

habeat;

.

2

.

:

melle

;

aut chartae combustae, auripigmenti, sulpuris

ignem non experti par modus cerato miscetur ex murteo facto aut aeruginis rasae P. -Jf I, squamae ;

^

P.

II mellis

miscentur 3

cyatho coguntur

saxi

calcis,

;

aut pares portiones

chalcitidis,

auripigmenti.

Quicquid horum impositum est, tegendum linteolo aqua madefacto est. Tertio die digitus resolvendus, *

"

27

;

A

suggests that

eadem has dropped

paronychia or whitlow.

Littre

(not used

288

Marx

Hippocrates {Epidemics

II.

The Latin name 139) calls it napcowxia. Celsus) was reduvia, and irrepvyiov, which he

V.

by

out.

BOOK

VI. i8. 11-19. 3

If little of copper scales, soot, and lime. treatment gives no relief, it is to be cauterized, either with more active medicaments or with the

added a this

cautery. 19. Old-standing

the

are or by boiled olive lees, in either case with the addition of vdne. In the same parts a small piece of flesh ulcerations

of

most suitably treated by buckthorn

fingers

juice,

sometimes grows out from the nail, causing great pain the Greeks call it pterygium." Round alum from Melos should be dissolved in water to the consistency of honey the same quantity of honey as there was of dry alum is then poured in, and the mix;

;

ture

is

colour,

stirred vdth a rod until

and then smeared on.

it

of a saffron prefer to boil

is

Some

up the same ingredients together for the same purpose after mixing equal quantities of dry alum and honey. If the whitlow is not removed by this treatment, it should be cut away next the finger is bathed in a decoction of vervains, and over it is ;

copper ore, then put the following composition pomegranate rind, and copper scales, mixed with or burnt papyrus, ripe figs, lightly boiled in honey orpiment, and crude sulphur in equal parts may be mixed with a cerate containing myrtle oil or scraped verdigris 4 grms., copper scales 8 grms., mixed together in 42 c.cm. of honey; or equal parts of Umestone, copper ore and orpiment are mixed together. Whichever of these is applied, it is covered On the third over by linen wetted with water. day the finger is dressed again, any dried part is :

;

;

gives as the Greek, is. seldom found in this sense in any extant writings, though pterygium is often found in Latin writers. For another meaning of pterygium see III. 328, note b.

289

CELSUS si quid aridi est, iterum excidendum, similisque adibenda curatio est. Si non vincitur purgandum est scalpello tenuibusque ferramentis adurendum et

et

sicut reliqua usta curandum est. At ubi seabri ungues sunt, circum aperiri debent,

turn super eos ex hac com; sandracae, sulpuris, singupositione aeque inponi nitri, auripigmenti, singulorum II ; lorum P. VIII ; tertioque id P. -Jf nil ; resinae liquidae P. Sub quo medicamento vitiosi die resolvendum est. ungues eadunt, et in eorum locum meliores renas-

corpus qua contingunt

:

^

^

cuntur.

290

;

BOOK

VI. 19. 3

removed, and similar treatment continued. When not succeed, the whitlow is cleaned by means of a scalpel, and the place burnt with a fine this does

cautery, followed cauterization.

by

the

dressing

usual

after

And when nails are scabrous, they must be loosened all round, where they are in contact with the flesh ; next some of the following composition is put on them sandarach and sulphur 8 grms. each soda and orpiment 16 grms. each; liquid resin 32 grms. The finger is dressed again on the third day. Under this medicament, diseased nails fall off and in their stead better ones grow. :

291

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